Organization · Type 2 NPI

Mountainlands Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Provo, UT

NPI number 1710329958 Active

Practice location

750 N 200 W, Suite 201
Provo, UT 84601-1677

Fax (801) 429-2002

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XNone listed
Pharmacy Technician 183700000XNone listed
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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About NPI 1710329958

Mountainlands Community Health Center, Inc.'s National Provider Identifier is 1710329958, issued on Jul 29, 2013. 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.