| NPI | 1871840843 |
|---|---|
| Doing Business As | MOUNTAIN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | HEIDI MELBOSTAD Chief Executive Officer 802-453-5116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2024-09-18 |