Organization · Type 2 NPI

Mountain Comprehensive Care Center, Inc.

Federally Qualified Health Center (FQHC) · Belfry, KY

NPI number 1194224717 Active

Practice location

26229 US Highway 119 N Ste A
Belfry, KY 41514-7416

Fax (606) 353-4403

Specialties and licenses

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

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

NPI record

NPI: 1194224717
Entity type: Organization (Type 2)
Issued: Feb 9, 2018
Last updated: Feb 9, 2018
Status: Active
Subpart: Yes of Mountain Comprehensive Care Center, Inc.

Other names

<unavail>
Homeplace Clinic · doing business as
Homeplace Clinic Belfry · 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 1194224717

Mountain Comprehensive Care Center, Inc.'s National Provider Identifier is 1194224717, issued on Feb 9, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Belfry, KY. The record was last updated on Feb 9, 2018.