Provider Demographics
NPI:1851578546
Name:MOUNTAINLAND ASSOCIATION OF GOVERNMENT
Entity Type:Organization
Organization Name:MOUNTAINLAND ASSOCIATION OF GOVERNMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, AGING & FAMILY SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-229-3806
Mailing Address - Street 1:586 E 800 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4146
Mailing Address - Country:US
Mailing Address - Phone:801-229-3806
Mailing Address - Fax:801-229-3671
Practice Address - Street 1:586 E 800 N
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4146
Practice Address - Country:US
Practice Address - Phone:801-229-3806
Practice Address - Fax:801-229-3671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management