Mountain Comprehensive Care Center, Inc.

NPI #1184182180 in Paintsville, Kentucky

Provider Information

NPI Number
1184182180
Entity Type
Organization
Organization Name
Mountain Comprehensive Care Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 8, 2019
Last Updated
Mar 11, 2019

Practice Location

Address
1110 S MAYO TRL
ZIP Code
41240-1273
Phone
(606) 789-3518

Authorized Official

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

Specialties & Taxonomy Codes

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

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