Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
Knott County Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DELENA P MILLER (CREDENTIALING MANAGER)
(606) 633-4823
Entity
Organization
Contact information
Practice address
1970 HIGHWAY 160 S, HINDMAN, KY 41822-9045
(606) 785-0259
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)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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