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Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
Leatherwood Elementary School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
L.M. CAUDILL (CEO)
(606) 633-4823
Entity
Organization
Contact information
Practice address
7777 KY HIGHWAY 699, SUITE A, CORNETTSVILLE, KY 41731-9013
(606) 633-4823
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
04/23/2014
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