Organization · Type 2 NPI

Mountain Comprehensive Care Center, Inc.

Federally Qualified Health Center (FQHC) · Jenkins, KY

NPI number 1184298580 Active

Practice location

29 Cabin Fork
Jenkins, KY 41537

Call (606) 886-8572 Map

Fax (606) 886-4433

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...

NPI record

NPI: 1184298580
Entity type: Organization (Type 2)
Issued: May 19, 2021
Last updated: Oct 21, 2022
Status: Active

Other names

<unavail>
Homeplace Clinic Dorton · doing business as
Homeplace Clinic Dorton · doing business as

Authorized official

Roxann Cordial
Credentialing Coordinator
(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 1184298580

Mountain Comprehensive Care Center, Inc.'s National Provider Identifier is 1184298580, issued on May 19, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jenkins, KY. The record was last updated on Oct 21, 2022.