Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountainlands Community Health Center, Inc

Organization Pharmacist · NPI 1710329958

Mountainlands Community Health Center, Inc is a Pharmacist in Provo, Utah. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 N 200 W Ste 201
Provo, UT 84601-1677
Phone: (801) 429-2000
Fax: (801) 429-2002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Pharmacist Taxonomy 183500000X
Pharmacy Technician Taxonomy 183700000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1710329958
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMountainlands Community Health Center, Inc
Authorized official Todd Bailey — Executive Director · (801) 429-2000
NPI enumeratedJuly 29, 2013
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address750 N 200 W, Suite 201, Provo, UT 84601-1677

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