Mountain Comprehensive Health Corporation | |
324 Medical Plaza Ln Whitesburg KY 41858-7426 | |
(606) 633-6074 | |
Not Available |
Full Name | Mountain Comprehensive Health Corporation |
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Speciality | Clinic/Center |
Location | 324 Medical Plaza Ln, Whitesburg, Kentucky |
Authorized Official Name and Position | Delena P Miller (CREDENTIALING) |
Authorized Official Contact | 6066334823 |
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 Health Corporation Po Box 40 Whitesburg KY 41858-0040 Ph: (606) 633-4823 | Mountain Comprehensive Health Corporation 324 Medical Plaza Ln Whitesburg KY 41858-7426 Ph: (606) 633-6074 |
NPI Number | 1053071159 |
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Provider Enumeration Date | 12/30/2021 |
Last Update Date | 10/07/2024 |
Medicare PECOS PAC ID | 7618875873 |
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Medicare Enrollment ID | O20220329002923 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053071159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Circle Dr Ste A, Whitesburg, KY 41858 Phone: 606-633-4823 Fax: 606-633-1874 | |
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Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3125 Highway 931 S, Whitesburg, KY 41858 Phone: 606-633-4823 Fax: 606-633-1874 |