Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Health Centers, Inc

Organization Family Medicine Physician · NPI 1073611364

Community Health Centers, Inc is a Family Medicine Physician in Midvale, Utah. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

220 W 7200 S Ste A
Midvale, UT 84047-1043
Phone: (801) 566-5494
Fax: (877) 497-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1073611364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Thomas — Executive Director · (801) 412-6920
Other names 72nd Street Medical Clinic
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address1455 W 2200 S Ste 300, West Valley City, UT 84119-7219

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