Organization
MIDTOWN COMMUNITY HEALTH CENTER INC
Active
Other names
Midtown South Salt Lake CHC, Midtown CHC South Salt Lake
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DACY MARTINEZ (CHIEF EXECUTIVE OFFICER)
(801) 334-1321
Entity
Organization
Contact information
Practice address
60 E 3750 S, SOUTH SALT LAKE, UT 84115-4428
(801) 486-0911
(833) 428-8495
Mailing address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
12/16/2025
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