COMMUNITY HEALTH CENTERS, INC. (NPI# 1316421761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316421761 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CENTERS, INC. |
Practice Address |
610 S 200 E Ste #b Salt Lake City UT 84111 |
Mailing Address |
2621 S 3270 W West Valley City UT 84119-1119 |
Practice Telephone | 8015398617 |
Mailing Telephone | 3852612614 |
Enumeration Date | 2018-09-21 |
Last Update Date | 2018-09-21 |
Authorized Official Name | DEXTER PEARCE (CEO) |
Authorized Official Telephone | 3852612614 |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY HEALTH CENTERS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199289 | Community Health Centers, Inc. | Clinic/Center | 509 Cagan View Rd, Clermont, FL 34714-6405 | 2019-11-27 |
1538687207 | Community Health Centers, Inc. | Dentist | 1078 S 300 E # 4, Salt Lake City, UT 84111-4638 | 2017-09-01 |
1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
1699030528 | Community Health Centers, Inc. | Clinic/Center | 105 E. Santa Fe, Carney, OK 74832 | 2012-07-06 |
1174898142 | Community Health Centers, Inc. | Community/Behavioral Health | 516 S Hudson Ave, Oklahoma City, OK 73109-5336 | 2012-03-09 |
1275602476 | Community Health Centers, Inc. | Clinic/Center | 110 S Woodland St, Winter Garden, FL 34787-3546 | 2006-11-06 |
1023091519 | Community Health Centers, Inc. | Clinic/Center | 411 Nw 11th St, Oklahoma City, OK 73103 | 2005-11-29 |
1194340083 | Community Health Centers, Inc. | Community/Behavioral Health | 300 Martin L. King, Langston, OK 73084-7308 | 2020-06-16 |
1548885718 | Community Health Centers, Inc. | Community/Behavioral Health | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-06-12 |
1275158446 | Community Health Centers, Inc. | Community/Behavioral Health | 130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 | 2020-06-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTERS, INC. | 110 S Woodland St, Winter Garden, FL 34787-3546 |
Street Address |
610 S 200 E STE #B |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
1891236378 | Kayla Budge | Behavior Technician | 243e 400s #300, Salt Lake City, UT 84111 | 2017-03-16 |
Find all providers in zip 84111 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
1467097071 | Centric Physicians Intermountain Region, Pllc | Family Medicine | 7101 N Mesa Street #365, Salt Lake City, UT 84101-1603 | 2019-11-07 |
1760036024 | Mindy Marie Wade | Family Medicine | 1950 E Fort Union Blvd, Salt Lake City, UT 84121-6894 | 2019-07-25 |
1841854338 | Tandy Muse | Family Medicine | 4460 S Highland Dr Ste 400, Salt Lake City, UT 84124-3565 | 2019-04-30 |
1821561408 | Terra Bowden | Family Medicine | 450 S 900 E Ste 175, Salt Lake City, UT 84102-2981 | 2019-01-07 |
1801379193 | Country Corner Family Medicine | Family Medicine | 5460 W Clernates Dr, Salt Lake City, UT 84118-8526 | 2018-09-12 |
1396259008 | Futura Medical Clinic | Family Medicine | 1407 W North Temple Ste 120, Salt Lake City, UT 84116-3187 | 2017-11-17 |
1255858734 | Fjm Basecamp | Family Medicine | 185 S State St Ste 208, Salt Lake City, UT 84111-1558 | 2017-08-25 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84111 |
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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.