340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH083950 MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC (Active)
Print
Main Details
Name
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Subdivision Name
Mountainlands Community Health Center Main Site Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008780
340B ID
CH083950
Grant Number
H80CS00213
Additional Details
Current Program Status
Active
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
6/25/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Mountainlands Community Health Center, Inc.
Todd Bailey, Executive Director
(801) 429-2000 Ext: 1155
Primary Contact
Mountainlands Community Health Center
Ronda Yorgason, Director of Operations
(801) 855-0153
Addresses
Street Address
589 S. State Street
Provo, UT 84606-5056
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
9/3/10 ADDED SUBDIV NAME AND UPDATED ADDR (WAS 215 WEST 100 NORTH, PROVO, 84601)
09/03/2010
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session