NPIMap

Organization Active NPI

Community Health Centers, Inc.

Doing business as Oquirrh View Medical & Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Taylorsville, UT
National Provider Identifier
1801992953
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS, INC.
Doing business as
Oquirrh View Medical & Dental Clinic
Practice address
4745 S 3200 W
Taylorsville, UT 84129-2822
Phone
(801) 964-6214
Fax
(801) 982-9232
NPI assigned
Sep 16, 2006
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Jennifer Lyn Thomas
Title
Executive Director
Phone
(801) 412-6920

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

4745 S 3200 W
Taylorsville, UT 84129-2822

Mailing address

1455 W 2200 S Ste 300
West Valley City, UT 84119-7219
Phone (801) 412-6920

Other names 1

  • Oquirrh View Medical & Dental Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040203000767 UT Part B Supplier - Clinic/Group Practice 5991698169 Receives reassigned benefits from 66 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Valley City, UT; Tremonton, UT; Taylorsville, UT; Salt Lake City, UT; Midvale, UT; Brigham City, UT
O20100614000873 UT Part A Provider - Federally Qualified Health Center (FQHC) 5991698169 Practice locations: Taylorsville, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801992953. Details of each certification follow.

Federally qualified health center certification: CCN 461816

Legal name
COMMUNITY HEALTH CENTERS INC
Doing business as
OQUIRRH VIEW MEDICAL & DENTAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 13, 1996
Last certification
May 13, 1996
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1986 in UT
Enrollment address
4745 S 3200 W
Taylorsville, UT 84129-2822

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Laura John Individual W-2 Managing EmployeeCredentialing Specialist Jul 5, 2022
Linda Stearns Individual Corporate OfficerBoard of Governor Nov 14, 2016
Lilli E Decair Individual Corporate DirectorBoard of Governor Oct 24, 2013
Jennifer Thomas Individual Corporate OfficerExecutive Director Jun 24, 2022 100%
W-2 Managing EmployeeExecutive Director Jun 24, 2022 100%
Operational/Managerial ControlExecutive Director Jun 24, 2022 100%
Rachel L Hooley Individual Corporate OfficerBoard Secretary Aug 23, 2012
Susan C Johnston Individual Corporate DirectorBoard Member Jul 29, 2010
Sheila M Hassett Individual Corporate DirectorBoard of Governor Feb 26, 2015
Gerry Ann Marty Individual Corporate DirectorBoard Member Mar 1, 2010
William Henrick Nelson Individual Corporate DirectorBoard President Dec 18, 2014
Robert L Bunnell Individual Corporate OfficerBoard President Aug 23, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1801992953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W 2200 S STE 300",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841197219",
            "telephone_number": "801-412-6920",
            "fax_number": "877-497-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 S 3200 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292822",
            "telephone_number": "801-964-6214",
            "fax_number": "801-982-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-412-6920"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oquirrh View Medical & Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.