ELLIS R. SHIPP MEDICAL CLINIC
NPI 1326417445
Clinic/Center - Federally Qualified Health Center (FQHC) in West Valley City, UT
About Ellis R. Shipp Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIS R. SHIPP MEDICAL CLINIC (NPI 1326417445) is a healthcare organization registered as a federally qualified health center (fqhc) in West Valley City, Utah and active in the NPI registry since September 2015. The organization lists Jennifer Thomas, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellis R. Shipp Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
59Medicare enrollment records show 59 clinicians reassign Medicare billing to Ellis R. Shipp Medical Clinic, which bills Medicare for the services they deliver. Of these, 44 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 59Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1326417445. It was assigned to this organization in the NPPES registry on September 18, 2015. The provider is doing business as Ellis R. Shipp Medical Clinic and Ellis R. Ship Medical Clinic.
Where is Community Health Centers, Inc. located?
Community Health Centers, Inc. is located at 4535 S 5600 W, West Valley City, UT 84120. The listed phone number is (801) 676-4405.
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.
Is Community Health Centers, Inc. enrolled in Medicare?
Yes. Community Health Centers, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Health Centers, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 9 Medicare specialties reassign their Medicare billing to Community Health Centers, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (36), Nurse Practitioner (7) and Dentist (4). Of these, 44 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Health Centers, Inc. accept?
Health plans from Molina Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Ellis R. Shipp Medical Clinic · NPI 1326417445
Federally Qualified Health Center (FQHC) organization in West Valley City, Utah. Organization record, active in the CMS NPPES registry since September 18, 2015.
## Identity
- **NPI:** 1326417445 (Entity type: Organization)
- **Enumerated:** September 18, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Health Centers, Inc.
- **Also known as:** Ellis R. Ship Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Thomas, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4535 S 5600 W, West Valley City, UT 84120-4639
- **Phone:** (801) 676-4405 · **Fax:** (877) 497-4661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 59 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (36), Nurse Practitioner (7), Dentist (4); 44 practice within 10 miles; [full list](https://npiprofile.com/npi/1326417445/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2023
- **Other identifiers:** Medicaid 1326417445 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1326417445) · Data from the CMS NPPES public registry.