Community Health Centers, Inc.
NPI 1073611364 · Federally Qualified Health Center (FQHC) · Midvale, UT
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Community Health Centers, Inc. is a Federally Qualified Health Center (FQHC) organization in Midvale, UT (NPI 1073611364).
Provider details
- NPI number
- 1073611364
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Thomas, Executive Director(801) 412-6920
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- 72nd Street Medical Clinic
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Frequently asked questions
- What is Community Health Centers, Inc.'s NPI number?
- Community Health Centers, Inc.'s National Provider Identifier (NPI) is 1073611364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Health Centers, Inc.?
- Community Health Centers, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Community Health Centers, Inc. located?
- Community Health Centers, Inc.'s practice location on file with NPPES is 220 W 7200 S, Midvale, UT 84047-1043.
- What is Community Health Centers, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Community Health Centers, Inc. is (801) 566-5494.
- Does Community Health Centers, Inc. accept Medicare?
- Community Health Centers, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Community Health Centers, Inc.?
- The authorized official listed on Community Health Centers, Inc.'s NPPES record is Jennifer Thomas, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Health Centers, Inc.'s NPI active?
- Yes — Community Health Centers, Inc.'s NPI (1073611364) is active in the NPPES registry as of the last update on 2023-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.