| Mountain Comprehensive Care Center, Inc. | |
|
838 S Mayo Trl Paintsville KY 41240-1384 | |
| (606) 788-1345 | |
| Not Available |
| Full Name | Mountain Comprehensive Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 838 S Mayo Trl, Paintsville, Kentucky |
| Authorized Official Name and Position | Roxann Cordial (CREDENTIALING) |
| 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. 838 S Mayo Trl Paintsville KY 41240-1384 Ph: (606) 788-1345 |
| NPI Number | 1699386078 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699386078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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