| Community Health Centers, Inc. | |
|
1455 W 2200 S Ste 300 West Valley City UT 84119-7219 | |
| (801) 412-6920 | |
| (877) 497-4661 |
| Full Name | Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1455 W 2200 S Ste 300, West Valley City, Utah |
| Authorized Official Name and Position | Jennifer Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8014126920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers, Inc. 1455 W 2200 S Ste 300 West Valley City UT 84119-7219 Ph: (801) 412-6920 | Community Health Centers, Inc. 1455 W 2200 S Ste 300 West Valley City UT 84119-7219 Ph: (801) 412-6920 |
| NPI Number | 1952505117 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 5991698169 |
|---|---|
| Medicare Enrollment ID | O20040203000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952505117 | NPI | - | NPPES |
| Provider Name | Maggie S Hull |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013999622 PECOS PAC ID: 2668372426 Enrollment ID: I20040109000523 |
| Provider Name | Jay C Moreland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095866 PECOS PAC ID: 5193614691 Enrollment ID: I20040312000707 |
| Provider Name | Edward R Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942287719 PECOS PAC ID: 1355386095 Enrollment ID: I20050623000389 |
| Provider Name | Kenneth P Libre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801873534 PECOS PAC ID: 1557391067 Enrollment ID: I20050815000812 |
| Provider Name | Thomas C Whittaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770600918 PECOS PAC ID: 2163523093 Enrollment ID: I20070723000543 |
| Provider Name | Andrew W Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821219379 PECOS PAC ID: 0648363663 Enrollment ID: I20070907000346 |
| Provider Name | Gabriela V Cetrola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962460790 PECOS PAC ID: 7315018926 Enrollment ID: I20080625000091 |
| Provider Name | Stefani J Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265439236 PECOS PAC ID: 8729142138 Enrollment ID: I20090130000072 |
| Provider Name | David M Gontrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922084813 PECOS PAC ID: 4082624804 Enrollment ID: I20091113000185 |
| Provider Name | Keith O Horwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316923113 PECOS PAC ID: 4587557665 Enrollment ID: I20091120000466 |
| Provider Name | Marilyn L Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285631358 PECOS PAC ID: 2860531563 Enrollment ID: I20091208000783 |
| Provider Name | Katherine A Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578540357 PECOS PAC ID: 3072653526 Enrollment ID: I20091222000002 |
| Provider Name | Frank J Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447412135 PECOS PAC ID: 5698947752 Enrollment ID: I20111013000554 |
| Provider Name | Suzanne E Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962660969 PECOS PAC ID: 2769650126 Enrollment ID: I20120220000693 |
| Provider Name | Pamela Austin Royer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114161262 PECOS PAC ID: 5698912228 Enrollment ID: I20130904000168 |
| Provider Name | Alana M Jonat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306136932 PECOS PAC ID: 7719117258 Enrollment ID: I20140902001977 |
| Provider Name | Adelaide R Slack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275822918 PECOS PAC ID: 9335397496 Enrollment ID: I20151204000722 |
| Provider Name | Betty Y Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043577125 PECOS PAC ID: 7810129996 Enrollment ID: I20160725002656 |
| Provider Name | Bradley Eugene Schleenbaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699118042 PECOS PAC ID: 4789909318 Enrollment ID: I20170216002450 |
| Provider Name | Susan Joan Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972580769 PECOS PAC ID: 2961635099 Enrollment ID: I20180122002366 |
| Provider Name | Devin Mccormick Link |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891944856 PECOS PAC ID: 6103186416 Enrollment ID: I20180206001959 |
| Provider Name | Ryan Wade Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689933707 PECOS PAC ID: 2365702685 Enrollment ID: I20180207000339 |
| Provider Name | Amber Heise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013077478 PECOS PAC ID: 7416028477 Enrollment ID: I20180207001711 |
| Provider Name | Katie M Yanguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215388566 PECOS PAC ID: 2860752938 Enrollment ID: I20180209001495 |
| Provider Name | Jose Luis Esparza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720341837 PECOS PAC ID: 7719117837 Enrollment ID: I20180221000651 |
| Provider Name | Stephen J Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083014997 PECOS PAC ID: 3274895164 Enrollment ID: I20180312001786 |
| Provider Name | Alan N Aoki |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508961327 PECOS PAC ID: 6103849799 Enrollment ID: I20180313002221 |
| Provider Name | Carolina Guitarrari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447636089 PECOS PAC ID: 9931461670 Enrollment ID: I20180316002278 |
| Provider Name | Gillian Gene Tufts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083691737 PECOS PAC ID: 9436375631 Enrollment ID: I20180321001176 |
| Provider Name | Johanna Isabel Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871088328 PECOS PAC ID: 1759634371 Enrollment ID: I20181030000434 |
| Provider Name | Christopher M Ramsdell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750584264 PECOS PAC ID: 3678621653 Enrollment ID: I20190114002326 |
| Provider Name | Christopher Smith Lauritzen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275742843 PECOS PAC ID: 0941541015 Enrollment ID: I20190418001148 |
| Provider Name | Shannon Q Dunlop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750624672 PECOS PAC ID: 7315378346 Enrollment ID: I20200507001242 |
| Provider Name | Jessica R Petrovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265865125 PECOS PAC ID: 2062765480 Enrollment ID: I20200611001641 |
| Provider Name | Lindsey Yanke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427580174 PECOS PAC ID: 4587917000 Enrollment ID: I20200903002849 |
| Provider Name | Luz Elena Reni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235742016 PECOS PAC ID: 0446663926 Enrollment ID: I20201229002335 |
| Provider Name | Annie Kathryn Kornetzke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053979948 PECOS PAC ID: 6002244944 Enrollment ID: I20220823000564 |
| Provider Name | Hanna Dorothee Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144751611 PECOS PAC ID: 9436421302 Enrollment ID: I20221114002316 |
| Provider Name | Krystal G Bramwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265058564 PECOS PAC ID: 0345608261 Enrollment ID: I20230623002396 |
| Provider Name | Emily F Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770147159 PECOS PAC ID: 9739416389 Enrollment ID: I20230629000906 |
| Provider Name | Erica Theresa Meninno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770102899 PECOS PAC ID: 0143689554 Enrollment ID: I20230703002066 |
| Provider Name | Kari Michelle Barnard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043847338 PECOS PAC ID: 3375943764 Enrollment ID: I20230707000709 |
| Provider Name | Whitney P Martinez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891456141 PECOS PAC ID: 4284094988 Enrollment ID: I20230712004662 |
| Provider Name | Robert A Vogel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063408896 PECOS PAC ID: 3476464330 Enrollment ID: I20230905000946 |
| Provider Name | Lyly S. Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801425574 PECOS PAC ID: 5496151425 Enrollment ID: I20230915002541 |
| Provider Name | Daren Charles Cole |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356578926 PECOS PAC ID: 0840695680 Enrollment ID: I20240428000074 |
Rivercourse Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3556 S 5600 W # 1-660, West Valley City, UT 84120 Phone: 612-930-2038 | |
Sacred Spaces Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7296 W Sentinal Rd, West Valley City, UT 84081 Phone: 801-815-6905 | |
Isat Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 West 2200 South, Suite A, West Valley City, UT 84119 Phone: 801-886-8900 Fax: 801-886-8898 | |
West Counseling Offices Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2880 W 4700 S, Suite A, West Valley City, UT 84118 Phone: 801-964-2465 Fax: 801-964-9075 | |
Glen E Johnson Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3940 W 4100 S, West Valley City, UT 84120 Phone: 801-966-3700 Fax: 801-966-9421 | |
Ri International Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2411 S 1070 W Ste A, West Valley City, UT 84119 Phone: 602-650-1212 | |
Wasatch Youth Support Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3392 W 3500 S, West Valley City, UT 84119 Phone: 801-969-3307 |