MOUNTAIN COMPREHENSIVE CARE CENTER INC. NPI 1285244244

NPI Information

NPI: 1285244244
Provider Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 18D2119540

Address:
428 E MAIN ST
INEZ, KY
ZIP 41224
Phone: (606) 788-1345
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MOUNTAIN COMPREHENSIVE CARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Inez, KY. MOUNTAIN COMPREHENSIVE CARE CENTER, INC. NPI is 1285244244. The provider is registered as an organization entity type.

The provider's business location address is:

428 E MAIN ST
INEZ, KY
ZIP 41224-931
Phone: (606) 788-1345

The provider's authorized official is Roxann Cordial .
The authorized official title is Credentialing and has the following contact phone number (606) 886-8572.

The CLIA number assigned to this NPI record is 18D2119540 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2020 and was last updated on 8/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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