MIDTOWN COMMUNITY HEALTH CENTER INC (NPI# 1013186717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013186717 |
| Entity Type | Organization |
| Organization Name | MIDTOWN COMMUNITY HEALTH CENTER INC |
| Other Organization Name | MIDTOWN COMMUNITY HEALTH CENTER CHILDREN'S CLINIC |
| Practice Address |
5285 S 400 E Suite A Washington Terrace UT 84405 |
| Mailing Address |
2240 Adams Ave Ogden UT 84401-1511 |
| Practice Telephone | 8014757007 |
| Practice Fax Number | 8014750703 |
| Mailing Telephone | 8013935355 |
| Mailing Fax Number | 8013944609 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MS. SONJA M LEVESQUE (CFO) |
| Authorized Official Telephone | 8013341327 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Midtown Community Health Center Children's Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780171 | Midtown Community Health Center Inc | Clinic/Center | 550 E 1400 N Ste Xy, Logan, UT 84341-2406 | 2015-09-18 |
| 1609254796 | Midtown Community Health Center Inc | Clinic/Center | 269 W 3300 S, Ogden, UT 84401-8440 | 2015-05-11 |
| 1467644740 | Midtown Community Health Center Inc | Clinic/Center | 22 S State Street, Clearfield, UT 84015 | 2007-08-10 |
| 1033547567 | Midtown Community Health Center Inc | Clinic/Center | 2253 S State St, Salt Lake City, UT 84115-2752 | 2013-10-18 |
| 1104124015 | Midtown Community Health Center Inc | Clinic/Center | 237 26th St, Ogden, UT 84401-3105 | 2011-03-02 |
| 1447495981 | Midtown Community Health Center Inc | Clinic/Center | 2240 Adams Ave, Ogden, UT 84401-1511 | 2008-12-12 |
| 1376735324 | Midtown Community Health Center Inc | Clinic/Center | 22 S State Street, Clearfield, UT 84015 | 2007-08-14 |
| 1447442496 | Midtown Community Health Center Inc | Clinic/Center | 2240 Adams Ave, Ogden, UT 84401-1511 | 2007-08-14 |
| 1194831552 | Midtown Community Health Center Inc | Pharmacy | 2240 Adams Ave, Ogden, UT 84401-1511 | 2006-08-21 |
| 1548267420 | Midtown Community Health Center Inc | Clinic/Center | 2240 Adams Ave, Ogden, UT 84401-1511 | 2005-07-07 |
| Street Address |
5285 S 400 E SUITE A |
| City | WASHINGTON TERRACE |
| State | UT |
| Zip Code | 84405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649205154 | Guy T Cox | Midwife | 5285 S 400 E, Suite B, Washington Terrace, UT 84405-7194 | 2006-07-12 |
| 1679840599 | Lorena Alicia Villarreal De Cantu | Physician Assistant | 5285 S 400 E, Washington Terrace, UT 84405-7194 | 2011-11-21 |
| 1871760371 | Haydee Larralde Blanca | Pediatrics | 5285 S 400 E, Suite A, Washington Terrace, UT 84405-7194 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871014092 | Wayne Community Health Centers, Inc | Clinic/Center | 65 North Center Street, Escalante, UT 84776-0276 | 2017-06-28 |
| 1417305087 | Bear Lake Community Health Centers | Clinic/Center | 944 S State Highway 89, Logan, UT 84321-5436 | 2016-05-24 |
| 1780090944 | Southwest Utah Community Health Center, Inc. | Clinic/Center | 391 North 200 West, Hurricane, UT 84737-1616 | 2014-07-09 |
| 1548588247 | Southwest Utah Community Health Center, Inc | Clinic/Center | 74 W. Harding Ave, Cedar City, UT 84720 | 2010-05-06 |
| 1528128899 | Wasatch Homeless Health Care, Inc. | Clinic/Center | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2006-12-09 |
| 1689754475 | Bear Lake Community Health Center | Clinic/Center | 325 W. Logan Hwy, Garden City, UT 84028-0328 | 2006-10-16 |
| 1942317722 | Green River Medical Center Inc | Clinic/Center | 585 West Main St., Box 417, Green River, UT 84525-0417 | 2006-08-25 |
| 1659358687 | Southwest Utah Community Health Center | Clinic/Center | 25 N 100 E, Suite 102, St George, UT 84770 | 2005-12-30 |
| 1366447112 | Community Health Centers Inc. | Clinic/Center | 1365 W 1000 N, Slc, UT 84116-1654 | 2005-06-17 |
| 1477558237 | Community Health Centers Inc. | Clinic/Center | 8446 Harrison St, Midvale, UT 84047-3568 | 2005-06-17 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON TERRACE |
| Zip Code | 84405 |
Please comment or provide details below to improve the information on MIDTOWN COMMUNITY HEALTH CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.