Organization · Type 2 NPI

Mountain Comprehensive Care Center, Inc.

Federally Qualified Health Center (FQHC) · Winchester, KY

NPI number 1568102432 Active

Practice location

123 S Main St
Winchester, KY 40391

Call (606) 886-8572 Map

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...

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NPI record

NPI: 1568102432
Entity type: Organization (Type 2)
Issued: Mar 30, 2022
Last updated: Aug 3, 2022
Status: Active
Subpart: Yes of Mountain Comprehensive Care Center, Inc.

Other names

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Homeplace Clinic Winchester · doing business as
Homeplace Clinic Winchester · doing business as

Authorized official

Roxann Cordial
Credentialing Coordinator
(606) 886-8572

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 1568102432

Mountain Comprehensive Care Center, Inc.'s National Provider Identifier is 1568102432, issued on Mar 30, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Winchester, KY. The record was last updated on Aug 3, 2022.