Organization
MIDTOWN COMMUNITY HEALTH CENTER INC
Active
Other names
Midtown CHC Children's, Midtown Community Health Center Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DACY MARTINEZ (CHIEF EXECUTIVE OFFICER)
(801) 334-1321
Entity
Organization
Contact information
Practice address
5285 S 400 E STE A, WASHINGTON TERRACE, UT 84405-7194
(801) 334-0048
(833) 428-8406
Mailing address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
12/16/2025
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