| Mountain Comprehensive Care Center, Inc. | |
|
11206 Main St Martin KY 41649 | |
| (606) 285-3142 | |
| Not Available |
| Full Name | Mountain Comprehensive Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11206 Main St, Martin, 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 |
|---|---|
| Mountain Comprehensive Care Center, Inc. 104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 | Mountain Comprehensive Care Center, Inc. 11206 Main St Martin KY 41649 Ph: (606) 285-3142 |
| NPI Number | 1013728740 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013728740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
G.m. Majmundar Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11217 Main Street, Martin, KY 41649 Phone: 606-285-9000 Fax: 606-285-9484 |