Mountain Comprehensive Health Corporation

NPI #1316991979 in Harlan, Kentucky

Provider Information

NPI Number: 1316991979
Entity Type: Organization
Organization Name: Mountain Comprehensive Health Corporation
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: May 19, 2006
Last Updated: Apr 28, 2025

Practice Location

Address: 132 VILLAGE CENTER RD
City: Harlan
State: Kentucky
ZIP Code: 40831-1777
Phone: (606) 573-7771

Authorized Official

Name: MR. L.M. (MIKE) CAUDILL
Title: CHIEF EXECUTIVE OFFICER
Phone: (606) 633-4823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Nurse Practitioner - Family — Family	363LF0000X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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