Organization · Type 2 NPI

Mountain Comprehensive Care Center, Inc.

Federally Qualified Health Center (FQHC) · Paintsville, KY

NPI number 1184182180 Active

Practice location

1110 S Mayo Trl
Paintsville, KY 41240-1273

Call (606) 789-3518 Map

Fax (606) 789-3530

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

2 other providers at this address

Other federally qualified health center (fqhc) providers in Paintsville

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NPI record

NPI: 1184182180
Entity type: Organization (Type 2)
Issued: Mar 8, 2019
Last updated: Mar 11, 2019
Status: Active
Subpart: Yes of Mountain Comprehensive Care Center, Inc.

Other names

<unavail>
Homeplace Clinic Paintsville · doing business as

Authorized official

Roxann Cordial
Credentialing
(606) 886-8572

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About NPI 1184182180

Mountain Comprehensive Care Center, Inc.'s National Provider Identifier is 1184182180, issued on Mar 8, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Paintsville, KY. The record was last updated on Mar 11, 2019.