Organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC
Active
Parent organization
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC
Other names
Mountainlands - Vernal Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC
Authorized official
TODD BAILEY (EXECUTIVE DIRECTOR)
(801) 429-2000
Entity
Organization
Contact information
Practice address
1680 W HIGHWAY 40 STE 201, VERNAL, UT 84078-4142
(435) 545-5175
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
(801) 429-2002
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/28/2022
Last updated
03/27/2025
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