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CH08380B Midtown Community Health Center, Inc. (Active)
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Main Details
Name
Midtown Community Health Center, Inc.
Subdivision Name
Midtown Community Health Center Children's Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009174
340B ID
CH08380B
Grant Number
H80CS00831
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/16/2013
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Midtown Community Health Center
Alicia Martinez, Chief Executive Officer
(801) 334-1321
Primary Contact
Midtown Community Health Center
Braden D. Mitchell, Pharmacy Director
(801) 395-8200
Addresses
Street Address
5285 S 400 E STE A
Washington Terrace, UT 84405-7194
Billing Address
MIDTOWN COMMUNITY HEALTH CENTER
2240 ADAMS AVENUE
OGDEN, UT 84401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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