OrganizationActive
Mountainlands Community Health Center, Inc.
NPI 1154739787 · Federally Qualified Health Center (FQHC) · Vernal, UT
Provider details
- NPI number
- 1154739787
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Mountainlands Community Health Center
- Organization subpart
- Yes
- Authorized official
- Todd Bailey, Executive Director(801) 429-2000
- License
- 138432-9922 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
133 S 500 E
Suite 101
Vernal, UT 84078-2728
Phone: (435) 789-2024
Fax: (435) 789-2034
Street-level locationGet directions
Mailing address
589 S State St
Provo, UT 84606-5056
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.