NPIMap

Mountainlands Community Health Center, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Vernal, UT

NPI 1154739787 · NPPES record last updated Mar 27, 2025

Key facts

NPI
1154739787
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
Practice address
133 S 500 E
Suite 101
Vernal, UT 84078-2728
Phone
(435) 789-2024
Fax
(435) 789-2034
NPI assigned
Jul 28, 2014
Organization subpart
Yes
Parent organization (as reported)
MOUNTAINLANDS COMMUNITY HEALTH CENTER

Authorized official

Name
Mr. Todd Bailey, MBA, CMPE
Title
Executive Director
Phone
(801) 429-2000

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Mountainlands Family Pharmacy (12 organizations share this tax ID)
Part of
Mountainlands Family Pharmacy

Locations

133 S 500 E
Ste 101
Vernal, UT 84078
Phone (435) 789-2024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11721/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 138432-9922 UT
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

133 S 500 E
Suite 101
Vernal, UT 84078-2728

Mailing address

589 S State St
Provo, UT 84606-5056
Phone (801) 429-2000

Other providers in Vernal, UT

All providers in Vernal, UT · Federally Qualified Health Center (FQHC) in Utah

Sources for this page

Verify at the official NPI Registry.