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CH08380F Midtown Community Health Center, Inc. (Active)
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Main Details
Name
Midtown Community Health Center, Inc.
Subdivision Name
Midtown Community Health Center South Salt Lake
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037641
340B ID
CH08380F
Grant Number
H80CS00831
Additional Details
Current Program Status
Active
Registration Date
1/10/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/16/2014
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
60 E 3750 S
Salt Lake City, UT 84115-2752
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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