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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
1680 W HIGHWAY 40, SUITE 201, VERNAL, UT 84078-4135
(801) 429-2000
(801) 429-2001
Mailing address
589 S STATE ST STE 201, PROVO, UT 84606-5056
(801) 429-2000
(018) 429-2001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/26/2013
Last updated
03/27/2025
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