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MIDTOWN COMMUNITY HEALTH CENTER INC
NPI 1033547567
Clinic/Center - Federally Qualified Health Center (FQHC) in South Salt Lake, UT

Active since October 18, 2013CLIA 46D2068150 · Microscopy
60 E 3750 S, SOUTH SALT LAKE, UT 84115(801) 486-0911(833) 428-8495 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midtown Community Health Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDTOWN COMMUNITY HEALTH CENTER INC (NPI 1033547567), doing business as Midtown Chc South Salt Lake, is a healthcare organization registered as a federally qualified health center (fqhc) in South Salt Lake, Utah and active in the NPI registry since October 2013. The organization holds a CLIA Microscopy certificate valid through October 28, 2027 and lists Alicia Dacy Martinez, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1033547567
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMIDTOWN COMMUNITY HEALTH CENTER INC
Location Address60 E 3750 SSouth Salt Lake, UT 84115-4428
Mailing Address2240 Adams AveOgden, UT 84401-1511 · (801) 393-5355 · Fax (801) 394-4609
Phone(801) 486-0911
Fax(833) 428-8495
Organization SubpartNo
Authorized OfficialAlicia Dacy MartinezChief Executive Officer · (801) 334-1321
Enumeration DateOctober 18, 2013
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1033547567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
60 E 3750 S, South Salt Lake, UT 84115
Open in Google Maps ↗

Other Names 2

Doing Business AsMidtown Chc South Salt Lake
Doing Business AsMidtown South Salt Lake Chc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2068150

Midtown Community Health Center, South Salt Lake · Salt Lake City, UT
Active · expires Oct 28, 2027
CLIA Number46D2068150
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorKurt E. Rifleman
Laboratory Phone(801) 486-0911
Laboratory LocationMidtown Community Health Center, South Salt Lake2253 S State Street, Salt Lake City, UT 84115
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDTOWN COMMUNITY HEALTH CENTER INC
Pharmacy (Community/Retail Pharmacy)
60 E 3750 S
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 262-3315
MARY DANIELLE KUYKENDALL PMHNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
60 E 3750 S
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 486-0911
TYLER SCOTT FARNSWORTH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
60 E 3750 S
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 486-0911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midtown Community Health Center Inc's NPI number?

The NPI number for Midtown Community Health Center Inc is 1033547567. It was assigned to this organization in the NPPES registry on October 18, 2013. The provider is doing business as Midtown CHC South Salt Lake and Midtown South Salt Lake CHC.

Where is Midtown Community Health Center Inc located?

Midtown Community Health Center Inc is located at 60 E 3750 S, South Salt Lake, UT 84115. The listed phone number is (801) 486-0911.

What is Midtown Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Midtown Community Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D2068150) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midtown Community Health Center Inc accept?

Health plans from UnitedHealthcare and University of Utah Health Plans list Midtown Community Health Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Midtown Community Health Center Inc was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.