Mountain Comprehensive Care Center, Inc.

NPI #1518441260 in Grayson, Kentucky

Provider Information

NPI Number
1518441260
Entity Type
Organization
Organization Name
Mountain Comprehensive Care Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 19, 2018
Last Updated
Oct 6, 2023

Practice Location

Address
129 FRALEY PLZ
ZIP Code
41143-1274
Phone
(606) 886-8572

Authorized Official

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

Specialties & Taxonomy Codes

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

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