# MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buckhorn School Based Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063836898
- **Authorized official:** L.M. CAUDILL (CEO)
- **Authorized official phone:** (606) 633-4823

## Contact information

- **Practice address:** 18392 KY HIGHWAY 28, SUITE A, BUCKHORN, KY 41721-8967
- **Practice address phone:** (606) 633-4823
- **Mailing address:** PO BOX 40, WHITESBURG, KY 41858-0040
- **Mailing address phone:** (606) 633-4823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2014
- **Last updated:** 02/14/2014