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CH08380G MIDTOWN COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
MIDTOWN COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Hope Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015301
340B ID
CH08380G
Grant Number
H80CS00831
Additional Details
Current Program Status
Active
Registration Date
10/6/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
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
269 West 3300 South
Ogden, UT 84401-8440
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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May 2025
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