Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
R.W. Combs Elementary School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
L.M. (MIKE) CAUDILL (CEO)
(606) 633-4823
Entity
Organization
Contact information
Practice address
9165 S KY HWY 15, SUITE A, HAPPY, KY 41746
(606) 476-2518
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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