OrganizationActive
Midtown Community Health Center Inc
NPI 1053780171 · Federally Qualified Health Center (FQHC) · Logan, UT
Provider details
- NPI number
- 1053780171
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sonja Levesque, Cfo(801) 334-1327
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
550 E 1400 N Ste Xy
Logan, UT 84341-2406
Phone: (801) 393-5355
Fax: (801) 394-4609
Street-level locationGet directions
Mailing address
550 E 1400 N Ste Xy
Logan, UT 84341-2406
Other names (DBA / former)
- Doing business as
- Mtchc Logan Clinic
- Doing business as
- Mtchc Logan Clinic
Registry dates
- Enumerated
- 2015-09-18
- Last updated
- 2018-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.