MEDICARE: MIDTOWN COMMUNITY HEALTH CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1508649567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDTOWN COMMUNITY HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	2240 ADAMS AVE
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84401-1511
Country	:	US
Telephone Number	:	801-334-1327
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 E 3750 S
Second Line	:
City	:	SOUTH SALT LAKE
State	:	UT
Zip	:	84115-4428
Country	:	US
Telephone Number	:	801-262-3315
Fax Number	:	801-262-3595

Authorized Official
Title or Position	:	CFO
Name	:	SONJA M LEVESQUE
Credential	:
Telephone Number	:	801-334-1327

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	10/27/2025

Similar Medicare Providers

1033547567 — MIDTOWN COMMUNITY HEALTH CENTER INC
Practice Location Address:

60 E 3750 S
SOUTH SALT LAKE, UT
84115-4428

Practice Phone: 801-486-0911
Practice Fax: 833-428-8495

1609556596 — MARY DANIELLE KUYKENDALL PMHNP, APRN
Practice Location Address:

60 E 3750 S
SOUTH SALT LAKE, UT
84115-4428

Practice Phone: 801-486-0911
Practice Fax: 801-262-3709

1376572123 — DR. CHARLES KENNETH LIPPINCOTT
Practice Location Address:

4428 SOUTH EASON BOULEVARD , SUITE A
TUPELO, MS
38801-6506

Practice Phone: 662-844-3739
Practice Fax: 662-844-3728

1386673036 — KEN LIPPINCOTT, M.D., P.A.
Practice Location Address:

4428 SOUTH EASON BOULEVARD , SUITE A
TUPELO, MS
38801-6506

Practice Phone: 662-844-3739
Practice Fax: 662-844-3728

1619262789 — CMS PROFESSIONAL TRANSPORT, INC.
Practice Location Address:

181 SE HERNANDO AVE
LAKE CITY, FL
32025-4428

Practice Phone: 386-752-2112
Practice Fax: 386-758-9047

1083104574 — MELISSA JACQUELINE MARIE HOWARD
Practice Location Address:

4428 WEST LAKE MEAD BLVD
LAS VEGAS, NV
89108

Practice Phone: 805-248-6846
Practice Fax:

Directions to “MIDTOWN COMMUNITY HEALTH CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.