MOUNTAIN COMPREHENSIVE HEALTH CORPORATION NPI 1821546573

NPI Information

NPI: 1821546573
Provider Name: MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
105 ISOM PLZ
JEREMIAH, KY
ZIP 41826
Phone: (606) 633-2233
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MOUNTAIN COMPREHENSIVE HEALTH CORPORATION is a primary care clinic center in Jeremiah, KY. MOUNTAIN COMPREHENSIVE HEALTH CORPORATION NPI is 1821546573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 ISOM PLZ
JEREMIAH, KY
ZIP 41826-088
Phone: (606) 633-2233
Fax: (606) 633-2223

The provider's authorized official is L.m. (mike) Caudill .
The authorized official title is Chief Executive Officer and has the following contact phone number (606) 633-4823.

The enumeration date for this NPI number is 9/12/2016 and was last updated on 7/6/2021.

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	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
4	261QP2300X	Clinic/Center	Primary Care	Yes
5	363LF0000X	Nurse Practitioner	Family	No

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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