Mountain Comprehensive Care Center, Inc.

NPI #1013728740 in Martin, Kentucky

Provider Information

NPI Number
1013728740
Entity Type
Organization
Organization Name
Mountain Comprehensive Care Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 14, 2025
Last Updated
Jan 14, 2025

Practice Location

Address
11206 MAIN ST
City
Martin
ZIP Code
41649
Phone
(606) 285-3142

Authorized Official

Name
ROXANN CORDIAL
Title
CREDENTIALING MANAGER
Phone
(606) 886-8572

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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