Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
Elkhorn City Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DELENA P MILLER (CREDENTIALING)
(606) 633-4823
Entity
Organization
Contact information
Practice address
115 W RUSSELL ST., ELKHORN CITY, KY 41522
(606) 754-8445
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
10/07/2024
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