MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC – NPI #1649879727
Clinic/Center

MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC is an AHC clinic located in PAYSON, UT. NPPES has assigned the NPI number 1649879727 to MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC on October 20, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Mar 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC below.

NPI Profile for
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC

NPI Number
1649879727
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Primary location
285 N 1250 E # 103
PAYSON, UT 84651-5794
Phone: (801) 429-2000 Fax: (801) 465-1891
Mailing address
589 S STATE ST
PROVO, UT 84606-5056
Phone: (801) 855-0093 Fax:
Organization Subpart
Yes - MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC is subpart of another organization.
Authorized Official
ERIC JOHNSON
FINANCIAL DIRECTOR
Phone: (801) 855-0091
Updated
Certification Date
Mar 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
122300000X
- Dentist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.