72nd Street Medical Clinic in Midvale, UT

72nd Street Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Midvale, Utah. The current practice location for 72nd Street Medical Clinic is 220 W 7200 S, Suite A, Midvale, Utah. For appointments, you can reach them via phone at (801) 566-5494. The mailing address for 72nd Street Medical Clinic is 1455 W 2200 S Ste 300, West Valley City, Utah and phone number is (801) 412-6920.

72nd Street Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073611364. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 566-5494.

Contact Information

	72nd Street Medical Clinic
	220 W 7200 S Suite A Midvale UT 84047-1043
	(801) 566-5494
	(877) 497-4661

Map and Direction

Primary Care Clinic Profile

Full Name	72nd Street Medical Clinic
Speciality	Clinic/Center
Location	220 W 7200 S, Midvale, Utah
Authorized Official Name and Position	Jennifer Lyn Thomas (EXECUTIVE DIRECTOR)
Authorized Official Contact	8014126920
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
72nd Street Medical Clinic 1455 W 2200 S Ste 300 West Valley City UT 84119-7219 Ph: (801) 412-6920	72nd Street Medical Clinic 220 W 7200 S Suite A Midvale UT 84047-1043 Ph: (801) 566-5494

NPI Details:

NPI Number	1073611364
Provider Enumeration Date	09/20/2006
Last Update Date	10/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	5991698169
Medicare Enrollment ID	O20100515000133

Medical Identifiers

Medical identifiers for 72nd Street Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073611364	NPI	-	NPPES
1073611364	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Midvale, UT

Stellar Pcp Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 E Fort Union Blvd Ste B, Midvale, UT 84047 Phone: 801-694-1198
Mindful Mobile Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 E Fort Union Blvd Ste 105, Midvale, UT 84047 Phone: 801-879-2664
Integral Rehabilitation, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 S 900 E, Midvale, UT 84047 Phone: 801-696-5257 Fax: 801-683-1589
Mountain View Diabetes Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 E Fort Union Blvd Ste 103, Midvale, UT 84047 Phone: 801-822-3315
Midvale Family Health Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7852 Pioneer St, Midvale, UT 84047 Phone: 801-561-2211 Fax: 801-561-1076
Mid-valley Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8446 S Harrison St, Midvale, UT 84047 Phone: 801-417-0131 Fax: 801-250-3204

72nd Street Medical Clinic - Medicare Primary Care in Midvale, UT