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COMMUNITY HEALTH CENTERS INC. NPI 1326417445


NPI Information

NPI: 1326417445
Provider Name: COMMUNITY HEALTH CENTERS, INC.

Doing Business As: ELLIS R. SHIPP MEDICAL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4535 S 5600 W
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 676-4405
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COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in West Valley City, UT. COMMUNITY HEALTH CENTERS, INC. NPI is 1326417445. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ellis R. Shipp Medical Clinic.

The provider's business location address is:

4535 S 5600 W
WEST VALLEY CITY, UT
ZIP 84120-639
Phone: (801) 676-4405
Fax: (877) 497-4661

The provider's authorized official is Jennifer Thomas .
The authorized official title is Executive Director and has the following contact phone number (801) 412-6920.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 10/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11326417445MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.