| NPI | 1649879727 |
|---|---|
| Other Name | MOUNTAINLANDS COMMUNITY HEALTH CENTER - PAYSON DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHNSON Financial Director 801-855-0091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2025-03-27 |