Organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAINLANDS COMMUNITY HEALTH CENTER
Authorized official
MR. TODD BAILEY MBA, CMPE (EXECUTIVE DIRECTOR)
(801) 429-2000
Entity
Organization
Contact information
Practice address
133 S 500 E, SUITE 101, VERNAL, UT 84078-2728
(435) 789-2024
(435) 789-2034
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
(018) 429-2001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
138432-9922
UT
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
03/27/2025
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