| Midtown Community Health Center Children's Clinic | |
|
5285 S 400 E Suite A Washington Terrace UT 84405 | |
| (801) 475-7007 | |
| (801) 475-0703 |
| Full Name | Midtown Community Health Center Children's Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5285 S 400 E, Washington Terrace, Utah |
| Authorized Official Name and Position | Sonja M 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 |
|---|---|
| Midtown Community Health Center Children's Clinic 2240 Adams Ave Ogden UT 84401-1511 Ph: (801) 393-5355 | Midtown Community Health Center Children's Clinic 5285 S 400 E Suite A Washington Terrace UT 84405 Ph: (801) 475-7007 |
| NPI Number | 1013186717 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 01/06/2010 |
| Medicare PECOS PAC ID | 0345135414 |
|---|---|
| Medicare Enrollment ID | O20080625000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013186717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ogden Family Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 E 4600 S, Washington Terrace, UT 84405 Phone: 801-627-2023 Fax: 801-627-2023 |