Mountainlands Community Health Center, Inc
LBN: Mountainlands Community Health Center, Inc
Mountainlands Community Health Center, Inc is an health care organization with primary practice located at 589 S State St , Provo UT 84606-5056. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Dental Providers / Dentist, Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mountainlands Community Health Center, Inc can be contacted via phone (801) 429-2000, or through Lontine, Karry via phone (801) 855-0093.
Contact Information
Primary practice address
589 S State St
Provo UT 84606-5056
Phone: (801) 429-2000
Fax: (801) 429-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Dental Providers / Dentist | 122300000X | ||
| Pharmacy Service Providers / Pharmacist | 183500000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1427075134 |
|---|---|
| LBN Legal business name | Mountainlands Community Health Center, Inc |
| DBA Doing business as | |
| Authorized official | Lontine, Karry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Aug 10th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427075134 | NPPES |
| Utah | MEDICAID | 1012699 |
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