Organization · Type 2 NPI
Mountain Comprehensive Health Corporation
Primary Care Clinic/Center · Eolia, KY
NPI number
1497002570
Active
Practice location
1099 Highway 806
Eolia, KY 40826-6554
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 |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1497002570
Mountain Comprehensive Health Corporation's National Provider Identifier is 1497002570, issued on Aug 8, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Eolia, KY. The record was last updated on Oct 7, 2024.