Midtown Community Health Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Logan, UT
NPI 1053780171 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1053780171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MIDTOWN COMMUNITY HEALTH CENTER INC
- Practice address
- 550 E 1400 N Ste Xy
Logan, UT 84341-2406 - Phone
- (801) 393-5355
- Fax
- (801) 394-4609
- NPI assigned
- Sep 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Sonja Levesque
- Title
- Cfo
- Phone
- (801) 334-1327
Practitioners 42
-
Colby J Andersen, P.A.
-
Joshuah Ivan Anderson, PA-S
-
Richard Charles Arbogast, M.D.
-
Cristal Bedolla, PA-C
-
Craig Stephen Bowden, PA-C
-
Jack W Crosland, MD
-
Tyler J D'Hulst, PA-C
-
Tyler Scott Farnsworth, PMHNP-BC
-
Richard J Gregoire, MD, PHD
-
Ryan R Horning, PA-C
-
Mark Housley, MD
-
Matthew Jackson, PA-C, MPAS
-
Mary Danielle Kuykendall, PMHNP, APRN
-
Heather D Larson, PA-C
National Provider Directory
Locations
525 E Datc Dr
Kaysville, UT 84037
Phone (801) 402-0581
670 28th St
Ogden, UT 84403
Phone (801) 393-5355
269 W 3300 S
Ogden, UT 84401
Phone (801) 393-2742
425 E 5350 S
Ste 355
Ogden, UT 84405
Phone (801) 475-7007
2253 S State St
South Salt Lake, UT 84115
Phone (801) 486-0911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
550 E 1400 N Ste Xy
Logan, UT 84341-2406
Mailing address
550 E 1400 N Ste Xy
Logan, UT 84341-2406
Phone (801) 393-5355
Other names
- MTCHC Logan Clinic
Other providers in Logan, UT
- Metro Treatment of Utah LP
- Maria Nicole Mezo
- Dolores Michael
- Fawn Michel
- Stephanie Jeannette Micheli
- Daniel Richard Miggin
- Milford Memorial Hospital
- Brandon C Miller
- Heather Miller
- Karen Anne Miller
All providers in Logan, UT · Federally Qualified Health Center (FQHC) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.