Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Parent organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Other names
Homeplace Clinic Winchester
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Authorized official
ROXANN CORDIAL (CREDENTIALING COORDINATOR)
(606) 886-8572
Entity
Organization
Contact information
Practice address
123 S MAIN ST, WINCHESTER, KY 40391
(606) 886-8572
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
08/03/2022
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