MOUNTAIN COMPREHENSIVE CARE CENTER INC. NPI 1346963261

NPI Information

NPI: 1346963261
Provider Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 18D2290787

Address:
22 HARBOR LANE
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 506-1610
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MOUNTAIN COMPREHENSIVE CARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Prestonsburg, KY. MOUNTAIN COMPREHENSIVE CARE CENTER, INC. NPI is 1346963261. The provider is registered as an organization entity type.

The provider's business location address is:

22 HARBOR LANE
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 506-1610
Fax: (606) 886-4433

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

The CLIA number assigned to this NPI record is 18D2290787 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2022 and was last updated on 9/26/2022.

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: 5/5/2024

NPI Synchronization or Removal

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