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72ND STREET MEDICAL CLINIC
NPI 1073611364
Clinic/Center - Federally Qualified Health Center (FQHC) in Midvale, UT

Active since September 20, 2006CLIA 46D0524383 · Microscopy
220 W 7200 S, SUITE A, MIDVALE, UT 84047(801) 566-5494(877) 497-4661 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2023, Jun 21, 2023, Mar 8, 2021 and 1 more (4 updates tracked since 2021).

About 72nd Street Medical Clinic NPPES

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

72ND STREET MEDICAL CLINIC (NPI 1073611364) is a healthcare organization registered as a federally qualified health center (fqhc) in Midvale, Utah and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through February 4, 2027 and lists Jennifer Lyn Thomas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073611364
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CENTERS, INC.
Location Address220 W 7200 S, SUITE AMidvale, UT 84047-1043
Mailing Address1455 W 2200 S Ste 300West Valley City, UT 84119-7219 · (801) 412-6920 · Fax (877) 497-4661
Phone(801) 566-5494
Fax(877) 497-4661
Organization SubpartNo
Authorized OfficialJennifer Lyn ThomasExecutive Director · (801) 412-6920
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1073611364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
220 W 7200 S, Midvale, UT 84047
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Other Names 1

Doing Business As72nd Street Medical Clinic

Other Identifiers 1

Medicaid1073611364UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, 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) 46D0524383

Community Health Centers, Inc · West Valley City, UT
Active · expires Feb 4, 2027
CLIA Number46D0524383
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorLindsey Yanke
Laboratory Phone(801) 261-2731
Laboratory LocationCommunity Health Centers, Inc1455 W 2200 S, Ste 300, West Valley City, UT 84119
CLIA data matches this NPI record on: Address Name
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

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

BETTY YI YI LIU MD
Family Medicine
220 W 7200 S, STE: A
MIDVALE, UT 84047
Salt Lake County (801) 566-5494

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 Community Health Centers, Inc.'s NPI number?

The NPI number for Community Health Centers, Inc. is 1073611364. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as 72nd Street Medical Clinic.

Where is Community Health Centers, Inc. located?

Community Health Centers, Inc. is located at 220 W 7200 S Suite A, Midvale, UT 84047. The listed phone number is (801) 566-5494.

What is Community Health Centers, 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 Community Health Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D0524383) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Health Centers, Inc. accept?

Health plans from Molina Healthcare, UnitedHealthcare and University of Utah Health Plans list Community Health Centers, 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 Community Health Centers, Inc. was last updated on October 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.