Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
Owsley County High School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DELENA P MILLER (CREDENTIALING)
(606) 633-4823
Entity
Organization
Contact information
Practice address
177 SHEPHERD RD STE A, BOONEVILLE, KY 41314-7343
(606) 593-6006
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
09/06/2018
Last updated
09/06/2018
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