MOUNTAIN COMPREHENSIVE CARE CENTER INC. NPI 1295385599

NPI Information

NPI: 1295385599
Provider Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
104 S FRONT AVE
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 886-8572
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MOUNTAIN COMPREHENSIVE CARE CENTER, INC. is a multi-specialty clinic center in Prestonsburg, KY. MOUNTAIN COMPREHENSIVE CARE CENTER, INC. NPI is 1295385599. The provider is registered as an organization entity type.

The provider's business location address is:

104 S FRONT AVE
PRESTONSBURG, KY
ZIP 41653-614
Phone: (606) 886-8572
Fax: (606) 886-4433

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

The enumeration date for this NPI number is 9/18/2019 and was last updated on 6/17/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty			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: 11/14/2023

NPI Synchronization or Removal

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