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MOUNTAINLANDS FAMILY PHARMACY
NPI 1871812370
Clinic/Center - Federally Qualified Health Center (FQHC) in Provo, UT

Active since May 24, 2010
589 S STATE ST, PROVO, UT 84606(801) 429-2000 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Mar 25, 2021, Aug 4, 2020 (3 updates tracked since 2020).

About Mountainlands Family Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINLANDS FAMILY PHARMACY (NPI 1871812370) is a healthcare organization registered as a federally qualified health center (fqhc) in Provo, Utah and active in the NPI registry since May 2010. The organization lists Todd Bailey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871812370
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOUNTAINLANDS FAMILY PHARMACY
Location Address589 S STATE STProvo, UT 84606-5056
Mailing Address589 S State StProvo, UT 84606-5056 · (801) 429-2000
Phone(801) 429-2000
Organization SubpartNo
Authorized OfficialTodd BaileyCeo · (801) 429-2011
Enumeration DateMay 24, 2010
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1871812370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 7630544-1703 (UT)
589 S STATE ST, Provo, UT 84606
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Other Names 1

Doing Business AsMountainlands Family Pharmacy

Other Identifiers 1

Other4611821Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT ROWE
Physician Assistant
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
MRS. JODI FLYNN PA-C
Physician Assistant
589 S STATE ST
PROVO, UT 84606
Utah County (801) 602-4795
CARLOS ARIEL TITA RN, CDCES
Registered Nurse (Ambulatory Care)
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
589 S STATE ST
PROVO, UT 84606
Utah County (801) 294-2013
MICHAEL C WORMAN PHARMD
Pharmacist (Ambulatory Care)
589 S STATE ST
PROVO, UT 84606
Utah County (801) 678-4924
MARIA DJ VILLAGRANA APRN
Nurse Practitioner (Family)
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
HALEY PARKER PA-C
Physician Assistant
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainlands Family Pharmacy's NPI number?

The NPI number for Mountainlands Family Pharmacy is 1871812370. It was assigned to this organization in the NPPES registry on May 24, 2010.

Where is Mountainlands Family Pharmacy located?

Mountainlands Family Pharmacy is located at 589 S State St, Provo, UT 84606. The listed phone number is (801) 429-2000.

What is Mountainlands Family Pharmacy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Mountainlands Family Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Mountainlands Family Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountainlands Family Pharmacy was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.