| Mountain Comprehensive Health Corporation | |
|
826 Ky 11 N Booneville KY 41314-9155 | |
| (606) 593-6395 | |
| (606) 593-5916 |
| Full Name | Mountain Comprehensive Health Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 826 Ky 11 N, Booneville, Kentucky |
| Authorized Official Name and Position | L.m. (mike) Caudill (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6066334823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Comprehensive Health Corporation Po Box 40 Whitesburg KY 41858-0040 Ph: (606) 633-4823 | Mountain Comprehensive Health Corporation 826 Ky 11 N Booneville KY 41314-9155 Ph: (606) 593-6395 |
| NPI Number | 1043257827 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 10/07/2024 |
| Medicare PECOS PAC ID | 7618875873 |
|---|---|
| Medicare Enrollment ID | O20060110000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043257827 | NPI | - | NPPES |
| 31000169 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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