Mountainlands Community Health Center Inc
Doing business as Mountainlands Community Health Center
Federally qualified health center in Provo, UT, Medicare certification number 461813.
Medicare certification
Provider of Services- CCN
- 461813
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- May 1, 1992
- Last certification
- May 1, 1992
- Most recent change of ownership
- Jan 1, 1995 (1 total)
- Address
- 215 West 100 North
Provo, UT 84601
(801) 374-9660
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Provo, UT
- NPI 1427075134
Medicare enrollment
Other federally qualified health centers in Provo, UT
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.