Organization · Type 2 NPI

Mountainlands Community Health Center, Inc

Federally Qualified Health Center (FQHC) · Provo, UT

NPI number 1144829946 Active

Practice location

589 S State St
Provo, UT 84606-5056

Call (801) 294-2013 Map

Fax (801) 429-2002

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1144829946

Mountainlands Community Health Center, Inc's National Provider Identifier is 1144829946, issued on Oct 22, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Provo, UT. The record was last updated on Mar 27, 2025.