Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
Middlesboro Campus Clinic, Mobile Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DELENA P MILLER (CREDENTIALING)
(606) 633-4823
Entity
Organization
Contact information
Practice address
1530 US HIGHWAY 25 E, MIDDLESBORO, KY 40965-1861
(606) 654-9450
(606) 302-4240
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
700017
KY
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
04/02/2025
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