Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Other names
Homeplace Clinic, Homeplace Clinic Paintsville
Organization subpart
No
Provider details
NPI number
Authorized official
PROMOD BISHNOI (EXECUTIVE DIRECTOR)
(606) 886-8572
Entity
Organization
Contact information
Practice address
838 S MAYO TRL, PAINTSVILLE, KY 41240
(606) 788-1345
(606) 788-3548
Mailing address
838 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 788-1345
(606) 788-3548
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700264
KY
Other
Enumeration date
08/17/2012
Last updated
11/15/2018
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