Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Other names
Homeplace Clinic Cynthiana
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANN CORDIAL (CREDENTIALING)
(606) 886-8572
Entity
Organization
Contact information
Practice address
210 S WALNUT ST, CYNTHIANA, KY 41031-1541
(606) 886-8572
(606) 886-4433
Mailing address
210 S WALNUT ST, CYNTHIANA, KY 41031-1541
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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