Organization
MIDTOWN COMMUNITY HEALTH CENTER INC
Active
Other names
MTCHC Logan Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA LEVESQUE (CFO)
(801) 334-1327
Entity
Organization
Contact information
Practice address
550 E 1400 N STE XY, LOGAN, UT 84341-2406
(801) 393-5355
(801) 394-4609
Mailing address
550 E 1400 N STE XY, LOGAN, UT 84341-2406
(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
09/18/2015
Last updated
11/30/2018
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