Mountain Comprehensive Care Center, Inc. | |
352 Success Bound Rd David KY 41616 | |
(606) 886-8374 | |
Not Available |
Full Name | Mountain Comprehensive Care Center, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 352 Success Bound Rd, David, Kentucky |
Authorized Official Name and Position | Roxann Cordial (CREDENTIALING MANAGER) |
Authorized Official Contact | 6068868572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Comprehensive Care Center, Inc. 104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 | Mountain Comprehensive Care Center, Inc. 352 Success Bound Rd David KY 41616 Ph: (606) 886-8374 |
NPI Number | 1972333649 |
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Provider Enumeration Date | 08/06/2024 |
Last Update Date | 08/06/2024 |
Identifier | Type | State | Issuer |
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1972333649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |