MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC – Federally Qualified Health Center (FQHC), NPI 1427075134

MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC is a healthcare provider. based in Provo, Utah. specializing in Federally Qualified Health Center (FQHC). The NPI Number for MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC is 1427075134

Main info

Organization
Name
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
NPI
1427075134
Phone
(801) 429-2000
Address
589 S STATE ST
Authorized Official
KARRY LONTINE CREDENTIALING
Enumeration Date
17 July 2006
Last Update Date
27 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC

  • 589, South State Street, Maeser, Provo, Utah County, Utah, 84606, United States

    PROVO, UT 846065056

    Phone: (801) 429-2000

    Fax: (801) 429-2001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100430000305OFederally Qualified Health Center (Fqhc)UTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84606)

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Reviews

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Frequently asked questions

What number should I use to identify MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC for billing?
Administrative and clinical systems typically use NPI 1427075134 for MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC.
Is MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC currently accepting referrals based on NPI status?
Registry metadata lists MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC as active.
What type of care does MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC provide?
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC's profile centers on Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What city is tied to MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC?
The directory associates MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC with Provo, Utah. Check all listed addresses for suites or satellite offices.
Can I export MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC's record?
You can download the official NPPES record; we summarize key fields for readability.

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