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
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
04/23/2014
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