Organization · Type 2 NPI

Mountain Comprehensive Care Center, Inc.

Federally Qualified Health Center (FQHC) · Louisa, KY

NPI number 1114426863 Active

Practice location

118 Blairs Way
Louisa, KY 41230-6389

Call (606) 638-9522 Map

Fax (606) 638-3548

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	700264 (KY)

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Louisa

Valley Health Systems, IncFederally Qualified Health Center (FQHC) Louisa, KY NPI 1932911831

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NPI record

NPI: 1114426863
Entity type: Organization (Type 2)
Issued: Feb 8, 2018
Last updated: Aug 15, 2024
Status: Active
Subpart: Yes of Mountain Comprehensive Care Center, Inc.

Other names

<unavail>
Homeplace Clinic Louisa · doing business as

Authorized official

Roxann Cordial
Credentialing
(606) 886-8572

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114426863

Mountain Comprehensive Care Center, Inc.'s National Provider Identifier is 1114426863, issued on Feb 8, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Louisa, KY. The record was last updated on Aug 15, 2024.