MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (NPI# 1295082386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295082386 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMPREHENSIVE HEALTH CORPORATION |
| Practice Address |
50 2nd St Neon KY 41840-8994 |
| Mailing Address |
Po Box 40 Whitesburg KY 41858-0040 |
| Practice Telephone | 6066334823 |
| Practice Fax Number | 6066331874 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | L.M. (MIKE) CAUDILL (CEO) |
| Authorized Official Telephone | 6066334823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598247447 | Mountain Comprehensive Health Corporation | Clinic/Center | 372 Ky 28 Ste A, Booneville, KY 41314-7325 | 2018-09-06 |
| 1316429269 | Mountain Comprehensive Health Corporation | Clinic/Center | 177 Shepherd Rd Ste A, Booneville, KY 41314-7343 | 2018-09-06 |
| 1609358159 | Mountain Comprehensive Health Corporation | Clinic/Center | 401 W Virginia Ave Ste A, Pineville, KY 40977-1321 | 2018-08-31 |
| 1063913788 | Mountain Comprehensive Health Corporation | Clinic/Center | 1540 Us Highway 25 E, Middlesboro, KY 40965-1861 | 2018-02-27 |
| 1508277831 | Mountain Comprehensive Health Corporation | Physician Assistant | 9165 S Ky Hwy 15, Suite A, Happy, KY 41746 | 2014-05-08 |
| 1881938363 | Mountain Comprehensive Health Corporation | Family Medicine | 269 Highway 3086, Jenkins, KY 41537-9204 | 2012-11-21 |
| 1235473711 | Mountain Comprehensive Health Corporation | Family Medicine | 58 B Ball Park Drive, Mcroberts, KY 41835-9099 | 2012-11-21 |
| 1710235916 | Mountain Comprehensive Health Corporation | Family Medicine | 330 Parks St, Whitesburg, KY 41858-7539 | 2012-08-17 |
| 1649528845 | Mountain Comprehensive Health Corporation | Physician Assistant | 435 Cougar Dr, Whitesburg, KY 41858-7009 | 2012-08-17 |
| 1003164203 | Mountain Comprehensive Health Corporation | Physician Assistant | 185 Circle Dr Ste A, Whitesburg, KY 41858-7662 | 2012-08-17 |
| Street Address |
50 2ND ST |
| City | NEON |
| State | KY |
| Zip Code | 41840-8994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321163 | Kentucky River District Health Department | Public Health or Welfare | 50 2nd St, Neon, KY 41840-8994 | 2007-05-03 |
| 1861879041 | Kentucky River District Health Department | Public Health or Welfare | 50 2nd St, Neon, KY 41840-8994 | 2015-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033360813 | Tony Grenander | Social Worker | 17 Klimatgatan, Gothenburg, S 41840 | 2008-10-09 |
| 1538316757 | Baker Medical Services Inc. | Family Medicine | 37 Highway 343, Neon, KY 41840 | 2008-08-19 |
| 1558555904 | Kentucky River District Health Department | Public Health or Welfare | Hwy 7, Blackey, KY 41840 | 2007-08-29 |
| 1013088947 | Brenda Joan Baker | Family Medicine | Building 37, Highway 343, Neon, KY 41840 | 2006-11-13 |
| 1386714715 | Stallards Pharmacy Inc | Pharmacy | 972 Hwy 317, Neon, KY 41840 | 2006-11-09 |
| 1508131350 | Sam W. Quillen Jr. Dmd | Dentist | 861 Hwy 317, Suite A, Neon, KY 41840-0036 | 2012-03-13 |
| 1801955133 | Sam Wiley Quillen Jr. | Dentist | Hwy 317, 861 Suite A Bx 36, Neon, KY 41840-0036 | 2006-12-06 |
| 1124026935 | Neon Volunteer Fire Department Inc | Ambulance | 50 Rescue St Ste A, Neon, KY 41840-9000 | 2005-07-14 |
| 1174848139 | Appalachian Regional Healthcare, Inc. | Nurse Practitioner | 37 Highway 343, Neon, KY 41840-9000 | 2010-04-02 |
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383572 | Enhance The Aesthetic & Wellness Co. | Clinic/Center | 801 Country Club Ln, Hopkinsville, KY 42240-1370 | 2020-07-07 |
| 1679192611 | Temple Triage Pllc | Clinic/Center | 8209 Pennsylvania Run Rd, Louisville, KY 40228-2143 | 2020-04-09 |
| 1154966778 | Member Medical, Inc. | Clinic/Center | 3046 Dolphin Dr Ste 104, Elizabethtown, KY 42701-7182 | 2019-11-07 |
| 1104384213 | Directcare Family Health, Pllc | Clinic/Center | 525 High St Ste 209, Paris, KY 40361-1849 | 2019-03-07 |
| 1407311194 | Quad/med, LLC | Clinic/Center | 739 S Dixie St, Horse Cave, KY 42749 | 2019-02-06 |
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1134606403 | Hope Primary & Urgent Care Pllc | Clinic/Center | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-07-19 |
| 1780177618 | Access Med, Pllc | Clinic/Center | 642 E Lexington Ave, Danville, KY 40422-1719 | 2018-06-14 |
| 1447743760 | Remedy House Calls | Clinic/Center | 37 Christopher Dr, South Shore, KY 41175-9447 | 2018-06-12 |
| 1932611019 | Family Care Professional Limited Liability Company | Clinic/Center | 3190 Irvine Rd., Richmond, KY 40475-4047 | 2017-10-30 |
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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.