Organization
COMMUNITY HEALTH CENTERS, INC.
Active
Other names
Neighborhood Medical Clinic, Glendale Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMAS (EXECUTIVE DIRECTOR)
(801) 412-6920
Entity
Organization
Contact information
Practice address
1388 S NAVAJO ST, SALT LAKE CITY, UT 84104-3444
(801) 955-2360
(877) 497-4661
Mailing address
1455 W 2200 S STE 300, WEST VALLEY CITY, UT 84119-7219
(801) 412-6920
(877) 497-4661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
124Q00000X
Dental Hygienist
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255757670
—
UT
Enumeration date
03/10/2014
Last updated
10/30/2023
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