| Mountain Health Care | |
|
3056 Ky Route 321 Prestonsburg KY 41653-9105 | |
| (606) 793-4510 | |
| Not Available |
| Full Name | Mountain Health Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3056 Ky Route 321, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Sanjay Srivastava (ORGANIZER) |
| Authorized Official Contact | 6067934510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Health Care Po Box 494 Hagerhill KY 41222-0494 Ph: () - | Mountain Health Care 3056 Ky Route 321 Prestonsburg KY 41653-9105 Ph: (606) 793-4510 |
| NPI Number | 1205468147 |
|---|---|
| Provider Enumeration Date | 02/09/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205468147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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