DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MIDTOWN COMMUNITY HEALTH CENTER INC

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
1261QC1500XCommunity Health Clinic/Center00867511UT
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548267420
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 : 801-393-5355
Fax Number : 801-394-4609
Provider Business Practice Location Address
First Line : 2240 ADAMS AVE
Second Line :
City : OGDEN
State : UT
Zip : 84401-1511
Country : US
Telephone Number : 801-393-5355
Fax Number : 801-394-4609
Authorized Official
Title or Position : COO
Name : JESSE BUSH
Credential :
Telephone Number : 801-395-8203
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/27/2025

Similar Medicare Providers

1588660864 — MS. ANGELA EPSTEIN PA-C
Practice Location Address:
2240 ADAMS AVE
OGDEN, UT
84401-1511
Practice Phone: 801-393-5355
Practice Fax: 801-394-4609
1497752372 — MR. RYAN R HORNING PA-C
Practice Location Address:
2240 ADAMS AVE
OGDEN, UT
84401-1511
Practice Phone: 801-393-5355
Practice Fax: 801-394-4609
1457358335 — DR. MARK HOUSLEY MD
Practice Location Address:
2240 ADAMS AVE
OGDEN, UT
84401-1511
Practice Phone: 801-393-5355
Practice Fax: 801-394-4609
1528066149 — DR. RICHARD J GREGOIRE MD, PHD
Practice Location Address:
2240 ADAMS AVE
OGDEN, UT
84401-1511
Practice Phone: 801-393-5355
Practice Fax: 801-394-4609
1780682567 — DR. KURT E RIFLEMAN MD
Practice Location Address:
2240 ADAMS AVE
OGDEN, UT
84401-1511
Practice Phone: 801-393-5355
Practice Fax: 801-394-4609
1750373247 — JACK W CROSLAND MD
Practice Location Address:
2240 ADAMS AVE
OGDEN, UT
84401-1511
Practice Phone: 801-393-5355
Practice Fax: 801-394-4609

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 © 2007-2025 (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.