Mountain Comprehensive Health Corporation

NPI #1912676511 in Hindman, Kentucky

Provider Information

NPI Number: 1912676511
Entity Type: Organization
Organization Name: Mountain Comprehensive Health Corporation
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Sep 8, 2021
Last Updated: Nov 7, 2024

Practice Location

Address: 396 HIGHWAY 899
City: Hindman
State: Kentucky
ZIP Code: 41822-8953
Phone: (606) 785-9440

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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