Hope Community Health Center | |
269 W 3300 S Ogden UT 84401-8440 | |
(801) 393-5355 | |
(801) 394-4609 |
Full Name | Hope Community Health Center |
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Speciality | Clinic/Center |
Location | 269 W 3300 S, Ogden, Utah |
Authorized Official Name and Position | Sonja Levesque (CFO) |
Authorized Official Contact | 8013341327 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Community Health Center 2240 Adams Ave Ogden UT 84401-1511 Ph: (801) 393-5355 | Hope Community Health Center 269 W 3300 S Ogden UT 84401-8440 Ph: (801) 393-5355 |
NPI Number | 1609254796 |
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Provider Enumeration Date | 05/11/2015 |
Last Update Date | 07/16/2015 |
Medicare PECOS PAC ID | 0345135414 |
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Medicare Enrollment ID | O20150723007413 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609254796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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