MOUNTAINLANDS COMMUNITY HEALTH CENTER INC NPI 1427075134

NPI Information

NPI: 1427075134
Provider Name: MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
589 S STATE ST
PROVO, UT
ZIP 84606
Phone: (801) 429-2000
Get Directions

MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC is a family medicine in Provo, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC NPI is 1427075134. The provider is registered as an organization entity type.

The provider's business location address is:

589 S STATE ST
PROVO, UT
ZIP 84606-056
Phone: (801) 429-2000
Fax: (801) 429-2001

The provider's authorized official is Karry Lontine .
The authorized official title is Credentialing and has the following contact phone number (801) 855-0093.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
2	122300000X	Dentist		No
3	183500000X	Pharmacist		No
4	207VX0000X	Obstetrics & Gynecology	Obstetrics	No
5	103T00000X	Psychologist		No
6	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1012699	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »