Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
Mountain Comprehensive Specialty Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS L.M. (MIKE) CAUDILL (CHIEF EXECUTIVE OFFICER)
(606) 633-4823
Entity
Organization
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
(606) 633-1874
Mailing address
PO BOX 70, WHITESBURG, KY 41858-0070
(606) 633-4823
(606) 633-1874
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65933871
—
KY
Enumeration date
05/30/2006
Last updated
02/15/2008
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