NPIMap

Mountainlands Community Health Center Inc

A Medicare group practice based in Provo, UT: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6305872201), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305872201The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
6
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20050712000914 UT Part B Supplier - Clinic/Group Practice 1427075134
O20100430000305 UT Part A Provider - Federally Qualified Health Center (FQHC) 1427075134
O20111021000476 UT Part A Provider - Federally Qualified Health Center (FQHC) 1437364882
O20140421001798 UT Part A Provider - Federally Qualified Health Center (FQHC) 1801226907
O20140130002009 UT Part A Provider - Federally Qualified Health Center (FQHC) 1710329958
O20160401001839 UT Part A Provider - Federally Qualified Health Center (FQHC) 1427437144

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (16).

Sources for this page