Mountain Comprehensive Care Center, Inc. | |
428 E Main St Inez KY 41224-8931 | |
(606) 788-1345 | |
Not Available |
Full Name | Mountain Comprehensive Care Center, Inc. |
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Speciality | Clinic/Center |
Location | 428 E Main St, Inez, Kentucky |
Authorized Official Name and Position | Roxann Cordial (CREDENTIALING) |
Authorized Official Contact | 6068868572 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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. 428 E Main St Inez KY 41224-8931 Ph: (606) 788-1345 |
NPI Number | 1285244244 |
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Provider Enumeration Date | 08/05/2020 |
Last Update Date | 08/05/2020 |
Medicare PECOS PAC ID | 5294720553 |
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Medicare Enrollment ID | O20201217001422 |
Identifier | Type | State | Issuer |
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1285244244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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