| NPI | 1053780171 |
|---|---|
| Doing Business As | MTCHC LOGAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | SONJA LEVESQUE CFO 801-334-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2018-11-30 |