NPIMap

Organization Active NPI

Midtown Community Health Center Inc

Doing business as Hope Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ogden, UT
National Provider Identifier
1609254796
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MIDTOWN COMMUNITY HEALTH CENTER INC
Doing business as
Hope Community Health Center
Midtown CHC Hope
Practice address
269 W 3300 S
Ogden, UT 84401-3845
Phone
(801) 393-2742
Fax
(833) 428-8434
NPI assigned
May 11, 2015
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alicia Dacy Martinez
Title
Chief Executive Officer
Phone
(801) 334-1321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

269 W 3300 S
Ogden, UT 84401-3845

Mailing address

2240 Adams Ave
Ogden, UT 84401-1511
Phone (801) 393-5355

Other names 2

  • Hope Community Health Center Doing business as
  • Midtown CHC Hope Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723007413 UT Part A Provider - Federally Qualified Health Center (FQHC) 0345135414 Practice locations: Ogden, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609254796. Details of each certification follow.

Federally qualified health center certification: CCN 461845

Legal name
MIDTOWN COMMUNITY HEALTH CENTER INC
Doing business as
HOPE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 22, 2015
Last certification
Jul 22, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 1, 1995 in UT
Enrollment address
269 W 3300 S
Ogden, UT 84401-3845

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2100257Midtown Community Health Center-Hope Clinic269 West 3300 South, Ogden, UT 84401Provider-performed microscopyAug 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Midtown Community Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christine M Ipsen Individual Corporate Director Nov 10, 2022
Charles E Ulrich Individual Corporate Director Nov 10, 2022
Judith E Franquelin Individual Corporate Director Nov 10, 2022
Jesse Garcia Individual Corporate Director Sep 1, 2017
Alicia Martinez Individual Corporate Officer Jan 25, 2016
Corporate Director Jan 25, 2016
W-2 Managing EmployeeAd; Jan 25, 2016
John a Grima Individual Corporate Director Aug 30, 2015
Patricia Chadwick Individual Corporate Director Aug 30, 2015
Kent Meacham Individual Corporate Director Aug 30, 2015
Andrea Lockwood Individual Corporate Director Aug 30, 2015
Jeremy James Individual Corporate Director Nov 10, 2022
Jesse Bush Individual Corporate Officer Jul 21, 2021
Corporate Director Jul 21, 2021
W-2 Managing EmployeeAd; Jul 21, 2021

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Midtown Community Health Center IncWashington Terrace, UT, CCN 461824 Federally qualified health center Operational/Managerial Control Dec 14, 2009
Midtown Community Health Center IncOgden, UT, CCN 461815 Federally qualified health center Operational/Managerial Control Dec 14, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1609254796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 ADAMS AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011511",
            "telephone_number": "801-393-5355",
            "fax_number": "801-394-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 W 3300 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013845",
            "telephone_number": "801-393-2742",
            "fax_number": "833-428-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "DACY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-334-1321"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown CHC Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.