Organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
Active
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 CMPE (EXECUTIVE DIRECTOR)
(801) 429-2000
Entity
Organization
Contact information
Practice address
750 N 200 W, SUITE 201, PROVO, UT 84601-1677
(801) 429-2000
(801) 429-2002
Mailing address
750 N 200 W, SUITE 201, PROVO, UT 84601-1677
(801) 429-2000
(801) 429-2002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
183700000X
Pharmacy Technician
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
03/27/2025
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