Organization
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN VANCE (EXECUTIVE DIRECTOR)
(606) 487-9505
Entity
Organization
Contact information
Practice address
279 E MAIN ST, HAZARD, KY 41701-1920
(606) 487-9505
(606) 436-0071
Mailing address
279 E MAIN ST STE 300, HAZARD, KY 41701-1920
(606) 487-9505
(606) 436-0071
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
08/20/2024
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