Organization
PINE MOUNTAIN CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHAN MOHAN MD (OWNER)
(606) 337-6047
Entity
Organization
Contact information
Practice address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-6047
(606) 337-0925
Mailing address
850 RIVERVIEW RD, PO BOX 308, PINEVILLE, KY 40977-1430
(606) 337-6047
(606) 337-0925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29667
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65930851
—
KY
Enumeration date
04/23/2007
Last updated
01/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us