MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI# 1184182180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184182180 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMPREHENSIVE CARE CENTER, INC. |
| Other Organization Name | HOMEPLACE CLINIC PAINTSVILLE |
| Practice Address |
1110 S Mayo Trl Paintsville KY 41240-1273 |
| Mailing Address |
104 S Front Ave Prestonsburg KY 41653-1614 |
| Practice Telephone | 6067893518 |
| Practice Fax Number | 6067893530 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | ROXANN CORDIAL (CREDENTIALING) |
| Authorized Official Telephone | 6068868572 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAIN COMPREHENSIVE CARE CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Homeplace Clinic Paintsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121972 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 210 S Walnut St, Cynthiana, KY 41031-1541 | 2019-12-18 |
| 1265083141 | Mountain Comprehensive Care Center, Inc. | Pharmacy | 242 W Court St, Prestonsburg, KY 41653-7724 | 2019-09-23 |
| 1194224717 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 26229 Us Highway 119 N Ste A, Belfry, KY 41514-7416 | 2018-02-09 |
| 1114426863 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 130 Town Hill Rd, Louisa, KY 41230-6389 | 2018-02-08 |
| 1265944060 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 525 Dotson Branch, Salyersville, KY 41465 | 2017-11-02 |
| 1699386078 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 838 S Mayo Trl, Paintsville, KY 41240-1384 | 2020-08-11 |
| 1285244244 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 428 E Main St, Inez, KY 41224-8931 | 2020-08-05 |
| 1295385599 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-18 |
| 1356990337 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-11 |
| 1346899275 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-04 |
| Street Address |
1110 S MAYO TRL |
| City | PAINTSVILLE |
| State | KY |
| Zip Code | 41240-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295946036 | Chastity Thomas | Counselor | 1110 S Mayo Trl, Paintsville, KY 41240-1273 | 2007-05-24 |
| 1831349141 | Stacy Ann Butcher | Counselor | 1110 S Mayo Trl, Paintsville, KY 41240-1273 | 2008-09-23 |
| 1811176522 | Jaime Welch | Counselor | 1110 S Mayo Trl, Paintsville, KY 41240-1273 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337579 | Angela Suzanne Fitch | Nurse Practitioner | 604 James S. Trimble Blvd, Suite 2, Paintsville, KY 41240 | 2018-08-27 |
| 1013446764 | Jimmy Woodrow Arnett | Counselor | 1032 Broadway St, Paintsville, KY 41240 | 2017-06-07 |
| 1073982914 | Heather Dawn Eperson | Nurse Practitioner | 604 James S Trimble Blvd, Suite 1, Paintsville, KY 41240 | 2015-09-22 |
| 1568808640 | Bhg Xxiv, LLC | Case Management | 628 Jefferson Avenue, Paintsville, KY 41240 | 2013-05-16 |
| 1275882375 | Carol Booth | Speech-Language Pathologist | 1025 Euclid Avenue, Paintsville, KY 41240 | 2012-09-05 |
| 1467601898 | Johnson County Health Dept | Public Health or Welfare | 649 Us Hwy 23 South, Staffordsville, KY 41240 | 2008-09-10 |
| 1033367560 | Johnson County Health Dept | Public Health or Welfare | 257 North Mayo Trail, Paintsville, KY 41240 | 2008-09-09 |
| 1770730038 | Johnson County Health Dept | Public Health or Welfare | 1715 Euclid Ave., Paintsville, KY 41240 | 2008-08-19 |
| 1720234958 | Johnson County Health Dept | Public Health or Welfare | 251 North Mayo Trail, Paintsville, KY 41240 | 2008-08-07 |
| 1689795619 | Crigger Mullins Speech Therapy Services Psc | Speech-Language Pathologist | 512 Elm St, Paintsville, KY 41240 | 2007-04-03 |
| Find all providers in zip 41240 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386078 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 838 S Mayo Trl, Paintsville, KY 41240-1384 | 2020-08-11 |
| 1578811774 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 838 S Mayo Trl, Paintsville, KY 41240 | 2012-08-17 |
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|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
| 1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
| 1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
| 1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
| 1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
| 1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
| 1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
| Find all providers with the same taxonomy | ||||
| City | PAINTSVILLE |
| Zip Code | 41240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.