340B Drug Pricing Program Database

Name

Midtown Community Health Center, Inc.

Subdivision Name

Midtown Community Health Center Weber Midtown Wellnes Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-010367

340B ID

CH08380D

Grant Number

H80CS00831

Current Program Status

Terminated

Registration Date

1/11/2013

Participating Start Date

4/1/2013

Participating Approval Date

2/16/2013

Last Recertification Date

2/4/2019

Termination Date
Termination Reason

4/1/2020
Business decision by the Covered Entity

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

Street Address

237 26th St
Ogden, UT 84401-3105

Billing Address

MIDTOWN COMMUNITY HEALTH CENTER
2240 ADAMS AVENUE
OGDEN, UT 84401