Organization
MIDTOWN COMMUNITY HEALTH CENTER INC
Active
Organization
MIDTOWN COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE BUSH (COO)
(801) 395-8203
Entity
Organization
Contact information
Practice address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609
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
00867511
UT
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870540037009
—
UT
Enumeration date
07/07/2005
Last updated
10/27/2025
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