Organization · Type 2 NPI
Midtown Community Health Center Inc
Federally Qualified Health Center (FQHC) · Logan, UT
NPI number
1053780171
Active
Practice location
550 E 1400 N Ste Xy
Logan, UT 84341-2406
Fax (801) 394-4609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1053780171
Midtown Community Health Center Inc's National Provider Identifier is 1053780171, issued on Sep 18, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Logan, UT. The record was last updated on Nov 30, 2018.