OrganizationActive
Midtown Community Health Center Inc
NPI 1033547567 · Federally Qualified Health Center (FQHC) · South Salt Lake, UT
Provider details
- NPI number
- 1033547567
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Martinez, Chief Executive Officer(801) 334-1321
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60 E 3750 S
South Salt Lake, UT 84115-4428
Phone: (801) 486-0911
Fax: (833) 428-8495
Street-level locationGet directions
Mailing address
2240 Adams Ave
Ogden, UT 84401-1511
Other names (DBA / former)
- Doing business as
- Midtown Chc South Salt Lake
- Doing business as
- Midtown South Salt Lake Chc
Registry dates
- Enumerated
- 2013-10-18
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.