Midtown Community Health Center INC

NPI #1053780171 in Logan, Utah

Provider Information

NPI Number: 1053780171
Entity Type: Organization
Organization Name: Midtown Community Health Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Sep 18, 2015
Last Updated: Nov 30, 2018

Practice Location

Address: 550 E 1400 N STE XY
City: Logan
State: Utah
ZIP Code: 84341-2406
Phone: (801) 393-5355

Authorized Official

Name: SONJA LEVESQUE
Title: CFO
Phone: (801) 334-1327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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