Organization · NPI-2
Community Health Centers, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) · Brigham City, UT
NPI number1205932373
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1205932373
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Centers, INC.
- Organization subpart
- No
- Enumeration date
- Sep 16, 2006
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 122300000X | Dentist | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 363LC1500X | Nurse Practitioner, Community Health | – | – |
Other names
- Brigham City Medical & Dental Clinic (Doing Business As)
- Utah Farm Workers Health (Migrant) (Other Name)
Practice location
980 S 500 W Ste 1Brigham City, UT 84302-3094
Phone 435-723-8276 · Fax 877-497-4661
Mailing address
1455 W 2200 S Ste 300West Valley City, UT 84119-7219
Phone 801-412-6920 · Fax 877-497-4661
Authorized official
Jennifer Thomas
Executive Director
8014126920
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