| Mountain Comprehensive Care Center, Inc. | |
|
22 Harbor Lane Prestonsburg KY 41653 | |
| (606) 506-1610 | |
| (606) 886-4433 |
| Full Name | Mountain Comprehensive Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 22 Harbor Lane, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Roxann Cordial (CREDENTIALING MANAGER) |
| 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. 22 Harbor Lane Prestonsburg KY 41653 Ph: (606) 506-1610 |
| NPI Number | 1346963261 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Medicare PECOS PAC ID | 5294720553 |
|---|---|
| Medicare Enrollment ID | O20230127000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346963261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mountain Comprehensive Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Prestonsburg Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Regency Park, Prestonsburg, KY 41653 Phone: 606-886-3077 Fax: 606-886-3078 | |
Blake R Burchett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 Fax: 606-886-0250 | |
Highlands Hospital Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-7600 Fax: 606-886-2218 | |
Appalachian Regional Healthcare, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4851 Kentucky Highway 321, Prestonsburg, KY 41653 Phone: 606-886-3831 Fax: 606-886-3440 | |
Compassion Adult Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 | |
Caring Professionals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Pickett Ln, Prestonsburg, KY 41653 Phone: 606-889-0378 |