MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC. (NPI# 1154739787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154739787 |
| Entity Type | Organization |
| Organization Name | MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
133 S 500 E Suite 101 Vernal UT 84078-2728 |
| Mailing Address |
589 S State St Provo UT 84606-5056 |
| Practice Telephone | 4357892024 |
| Practice Fax Number | 4357892034 |
| Mailing Telephone | 8014292000 |
| Mailing Fax Number | 0184292001 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MR. TODD BAILEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8014292000 |
| Authorized Official Credential | MBA, CMPE |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAINLANDS COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
138432-9922 | UT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427437144 | Mountainlands Community Health Center, Inc. | Dentist | 299 E 900 S Ste 101, Provo, UT 84606-6107 | 2015-05-27 |
| 1710329958 | Mountainlands Community Health Center, Inc. | Pharmacist | 750 N 200 W, Suite 201, Provo, UT 84601-1677 | 2013-07-29 |
| Street Address |
133 S 500 E SUITE 101 |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891728234 | Tricounty Health Department | Public Health or Welfare | 133 S 500 E, Vernal, UT 84078-2728 | 2006-07-09 |
| 1205214806 | Uintah County | Public Health or Welfare | 133 S 500 E, Vernal, UT 84078-2728 | 2015-05-14 |
| 1952795056 | Melissa Boren | Licensed Practical Nurse | 133 S 500 E, Vernal, UT 84078-2728 | 2015-03-26 |
| 1497148738 | Tama Anderson | Registered Nurse | 133 S 500 E, Vernal, UT 84078-2728 | 2015-03-11 |
| 1154712776 | Nicole Smith | Registered Nurse | 133 S 500 E, Vernal, UT 84078-2728 | 2015-02-18 |
| 1356761498 | Marci Thayne | Registered Nurse | 133 S 500 E, Vernal, UT 84078-2728 | 2014-04-16 |
| 1134548449 | Kelly Bingham | Case Manager/Care Coordinator | 133 S 500 E, Vernal, UT 84078-2728 | 2014-04-15 |
| 1154673077 | Patty Rae Hardinger | Case Manager/Care Coordinator | 133 S 500 E, Vernal, UT 84078-2728 | 2012-10-03 |
| 1346518107 | Kristine Blackburn | Case Manager/Care Coordinator | 133 S 500 E, Vernal, UT 84078-2728 | 2011-12-08 |
| 1740514645 | Ronald John Kehl | Dentist | 133 S 500 E, Vernal, UT 84078-2728 | 2009-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639567043 | Larsen-haslem Dental LLC | Clinic/Center | 1214 W 500 S, Vernal, UT 84078-2916 | 2015-01-07 |
| 1134523459 | Rk Jolley Dds, PC | Clinic/Center | 40 W 100 N, Vernal, UT 84078-2002 | 2014-10-15 |
| 1255407011 | Brian W Spendlove Dds PC | Clinic/Center | 753 W Highway 40, Vernal, UT 84078-2427 | 2006-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609015 | Corner Clinic Dental Stg | Clinic/Center | 2351 S River Rd Ste 4, St George, UT 84790-8749 | 2020-11-04 |
| 1124637665 | Pony Express Dental of Saratoga Springs | Clinic/Center | 2253 S. Talons Cove Drive, Saratoga Springs, UT 84045-8400 | 2020-07-30 |
| 1154947372 | Preston G. Hansen, Dds, Pllc | Clinic/Center | 7138 S Highland Dr Ste 211, Salt Lake City, UT 84121-3787 | 2020-06-23 |
| 1114549573 | Richfield Family Dental | Clinic/Center | 820 N Main St Ste 1, Richfield, UT 84701-1893 | 2020-05-08 |
| 1639790918 | Nic-utah County, LLC | Clinic/Center | 2230 N University Pkwy Ste 8b, Provo, UT 84604-6700 | 2020-04-28 |
| 1063032225 | Haven Dental LLC | Clinic/Center | 2685 N 1000 W, Pleasant View, UT 84414-2660 | 2020-04-17 |
| 1972139681 | Kayscreek Dental Pllc | Clinic/Center | 349 N Flint St, Kaysville, UT 84037-9807 | 2020-03-14 |
| 1831721240 | Sg Dental Pllc | Clinic/Center | 225 Skyhawk Dr, Wendover, UT 84083-4501 | 2020-02-05 |
| 1740829993 | V and S Dental LLC | Clinic/Center | 3816 W 13400 S Ste 200, Riverton, UT 84065-7888 | 2020-01-04 |
| 1124664834 | Simply Smiles Dental Utah | Clinic/Center | 2592 S 5600 W Ste 102, West Valley City, UT 84120-1274 | 2019-11-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.