| Mountain Comprehensive Care Center, Inc. | |
|
1110 S Mayo Trl Paintsville KY 41240-1273 | |
| (606) 789-3518 | |
| (606) 789-3530 |
| Full Name | Mountain Comprehensive Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1110 S Mayo Trl, Paintsville, Kentucky |
| Authorized Official Name and Position | Roxann Cordial (CREDENTIALING) |
| Authorized Official Contact | 6068868572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 1110 S Mayo Trl Paintsville KY 41240-1273 Ph: (606) 789-3518 |
| NPI Number | 1184182180 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 5294720553 |
|---|---|
| Medicare Enrollment ID | O20191122001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184182180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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