Organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
Authorized official
MR. TODD BAILEY MBA, CMPE (EXECUTIVE DIRECTOR)
(801) 429-2000
Entity
Organization
Contact information
Practice address
299 E 900 S STE 101, PROVO, UT 84606-6107
(801) 429-2000
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
03/27/2025
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