MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI# 1285244244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285244244 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMPREHENSIVE CARE CENTER, INC. |
| Practice Address |
428 E Main St Inez KY 41224-8931 |
| Mailing Address |
104 S Front Ave Prestonsburg KY 41653-1614 |
| Practice Telephone | 6067881345 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | ROXANN CORDIAL (CREDENTIALING) |
| Authorized Official Telephone | 6068868572 |
| Is Organization Subpart | N |
| 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 Inez | 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 |
| 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 |
| 1184182180 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 1110 S Mayo Trl, Paintsville, KY 41240-1273 | 2019-03-08 |
| Street Address |
428 E MAIN ST |
| City | INEZ |
| State | KY |
| Zip Code | 41224-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740343896 | Melissa Carol Fletcher | Family Medicine | 428 E Main St, Inez, KY 41224-8931 | 2006-12-19 |
| 1114279635 | Amanda Lynn Maynard | Nurse Practitioner | 428 E Main St, Inez, KY 41224-8931 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264990 | Paul G Ward | Technician | 350 Cassady Ave., Inez, KY 41224 | 2020-08-10 |
| 1962954529 | Martin Manor Operations, LLC | Skilled Nursing Facility | 62 Maude Rd., Inez, KY 41224 | 2016-10-31 |
| 1801262381 | Tricia Slone | Physical Therapist | 62 Maude Rd, Inez, KY 41224 | 2015-08-19 |
| 1063809796 | Melisa Ann Bell | Occupational Therapist | 62 Maude Road, Inez, KY 41224 | 2015-04-21 |
| 1376937706 | Vesta M. Esham | Physical Therapy Assistant | 65 Otto Drive, Inez, KY 41224 | 2015-03-24 |
| 1912342973 | Donald Ray Setser | Counselor | 2596 Rockcastle Rd., Appalachia Reach-out, Inez, KY 41224 | 2013-05-05 |
| 1861769614 | Kerry Wheeler | Counselor | 6500 Hwy 645, Inez, KY 41224 | 2011-11-22 |
| 1780977389 | Tasha M Russell | Pediatrics | 64 Kirk Plz, Inez, KY 41224 | 2011-05-16 |
| 1003105669 | Jennifer M Marcum | Pharmacist | 120 Cresley Branch Road, Ulysses, KY 41224 | 2011-04-05 |
| 1396050563 | Ginger Scott | Counselor | Old Rt 3 Rock Castle Road, Inez, KY 41224 | 2010-08-12 |
| Find all providers in zip 41224 | ||||
| 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 |
|---|---|---|---|---|
| 1104055805 | Big Sandy Health Care, Inc | Clinic/Center | 6500 Highway 645, Ste 110, Inez, KY 41224-2044 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
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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.