| Community Health Centers, Inc. | |
| 
					220 W 7200 S Suite A Midvale UT 84047-1043  | |
| (801) 566-5494 | |
| (877) 497-4661 | 
| Full Name | Community Health Centers, Inc. | 
|---|---|
| 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 | Practice Location Address | 
|---|---|
| Community Health Centers, Inc. 1455 W 2200 S Ste 300 West Valley City UT 84119-7219 Ph: (801) 412-6920  | Community Health Centers, Inc. 220 W 7200 S Suite A Midvale UT 84047-1043 Ph: (801) 566-5494  | 
| NPI Number | 1073611364 | 
|---|---|
| Provider Enumeration Date | 09/20/2006 | 
| Last Update Date | 10/30/2023 | 
| Medicare PECOS PAC ID | 5991698169 | 
|---|---|
| Medicare Enrollment ID | O20100515000133 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073611364 | NPI | - | NPPES | 
| 1073611364 | Medicaid | UT | 
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