MOUNTAIN COMPREHENSIVE HEALTH CORPORATION NPI 1932575784

NPI Information

  • NPI: 1932575784
  • Provider Name: MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PINEVILLE MEDICAL CLINIC
  • CLIA Number: 18D2107556
  • Address: 251 S PINE ST
    PINEVILLE, KY
    ZIP 40977
  • Phone: (606) 337-3500

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NPI Details

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION is a primary care clinic center in Pineville, KY. MOUNTAIN COMPREHENSIVE HEALTH CORPORATION NPI is 1932575784. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pineville Medical Clinic.

The provider's business location address is:

251 S PINE ST
PINEVILLE, KY
ZIP 40977-646
Phone: (606) 337-3500

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

The CLIA number assigned to this NPI record is 18D2107556 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2015 and was last updated on 10/7/2024.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
5261QP2300XClinic/CenterPrimary CareYes
6363LF0000XNurse PractitionerFamilyNo

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: 11/21/2025

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