Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Parent organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Other names
Homeplace Clinic Pikeville, Homeplace Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Authorized official
ROXANN CORDIAL (CREDENTIALING)
(606) 886-8572
Entity
Organization
Contact information
Practice address
118 RIVER DR, PIKEVILLE, KY 41501-1597
(606) 433-2303
(606) 437-5412
Mailing address
118 RIVER DR, PIKEVILLE, KY 41501-1597
(606) 433-2303
(606) 437-5412
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700264
KY
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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