COMMUNITY HEALTH CENTERS INC NPI 1952505117

NPI Information

COMMUNITY HEALTH CENTERS, INC is a federally qualified health center (fqhc) clinic center in Midvale, UT. COMMUNITY HEALTH CENTERS, INC NPI is 1952505117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

220 W 7200 S
SUITE A
MIDVALE, UT
ZIP 84047-043
Phone: (801) 858-3451
Fax: (801) 858-3470

The provider's authorized official is Dexter Pearce .
The authorized official title is Executive Director and has the following contact phone number (385) 261-2733.

The CLIA number assigned to this NPI record is 46D0524383 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/12/2007 and was last updated on 3/8/2021.

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:

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