Organization · Type 2 NPI

Mountain Comprehensive Health Corporation

Primary Care Clinic/Center · Mcroberts, KY

NPI number 1235473711 Active

Practice location

58 B Ball Park Drive
Mcroberts, KY 41835-9099

Call (606) 633-4823 Map

Mailing address

PO Box 40
Whitesburg, KY 41858-0040

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC)	261QF0400X	None listed
Primary Care Clinic/Center Primary	261QP2300X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1235473711
Entity type: Organization (Type 2)
Issued: Nov 21, 2012
Last updated: Oct 7, 2024
Status: Active

Other names

<unavail>
McRoberts Campus School Based Clinic · doing business as
McRoberts Campus School Based Clinic · doing business as

Authorized official

L.m. (mike) Caudill
Chief Executive Officer
(606) 633-4823

Verify this record

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 1235473711

Mountain Comprehensive Health Corporation's National Provider Identifier is 1235473711, issued on Nov 21, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mcroberts, KY. The record was last updated on Oct 7, 2024.