| Mountain View | |
|
11176 Main Street Martin KY 41649-0910 | |
| (606) 285-3690 | |
| Not Available |
| Full Name | Mountain View |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 11176 Main Street, Martin, Kentucky |
| Authorized Official Name and Position | Kathy Stumbo (PRESIDENT) |
| Authorized Official Contact | 6062856602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Po Box 910 Martin KY 41649-0910 Ph: (606) 285-3690 | Mountain View 11176 Main Street Martin KY 41649-0910 Ph: (606) 285-3690 |
| NPI Number | 1609005131 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 07/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609005131 | NPI | - | NPPES |
| 35001015 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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