| Mountain Comprehensive Care Center, Inc. | |
|
838 S Mayo Trl Paintsville KY 41240 | |
| (606) 788-1345 | |
| (606) 788-3548 |
| Full Name | Mountain Comprehensive Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 838 S Mayo Trl, Paintsville, Kentucky |
| Authorized Official Name and Position | Promod Bishnoi (EXECUTIVE DIRECTOR) |
| 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. 838 S Mayo Trl Paintsville KY 41240-1384 Ph: (606) 788-1345 | Mountain Comprehensive Care Center, Inc. 838 S Mayo Trl Paintsville KY 41240 Ph: (606) 788-1345 |
| NPI Number | 1578811774 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 5294720553 |
|---|---|
| Medicare Enrollment ID | O20130102000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578811774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700264 (Kentucky) | Primary |
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Luminosity Integrated Rejuvenation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Depot Road, Paintsville, KY 41240 Phone: 606-793-5077 | |
Scott B. Arnett M.d., Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 West St, Suite 1, Paintsville, KY 41240 Phone: 606-789-5979 Fax: 606-788-0387 | |
Mountain Comprehensive Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 S Mayo Trl, Paintsville, KY 41240 Phone: 606-789-3518 Fax: 606-789-3530 | |
Anthony Deguzman Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Broadway St, Paintsville, KY 41240 Phone: 606-789-4450 Fax: 606-789-4452 | |
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