Organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Active
Parent organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Other names
Mountainlands Community Health Center - Provo Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Authorized official
ERIC JOHNSON (FINANCIAL DIRECTOR)
(801) 855-0091
Entity
Organization
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 294-2013
(801) 429-2002
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 855-0093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
03/27/2025
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