Organization · Type 2 NPI
Community Health Centers, Inc.
Federally Qualified Health Center (FQHC) · Midvale, UT
NPI number
1073611364
Active
Practice location
220 W 7200 S, Suite A
Midvale, UT 84047-1043
Fax (877) 497-4661
Mailing address
1455 W 2200 S Ste 300
West Valley City, UT 84119-7219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1073611364
Community Health Centers, Inc.'s National Provider Identifier is 1073611364, issued on Sep 20, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Midvale, UT. The record was last updated on Oct 30, 2023.