MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI# 1770121972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770121972 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMPREHENSIVE CARE CENTER, INC. |
| Practice Address |
210 S Walnut St Cynthiana KY 41031-1541 |
| Practice Telephone | 6068868572 |
| Practice Fax Number | 6068864433 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| 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 Cynthiana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1184182180 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 1110 S Mayo Trl, Paintsville, KY 41240-1273 | 2019-03-08 |
| Street Address |
210 S WALNUT ST |
| City | CYNTHIANA |
| State | KY |
| Zip Code | 41031-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105183 | Suelynn Carter | Peer Specialist | 257 Parkland Heighgts, Cynthiana, KY 41031 | 2017-03-15 |
| 1386875656 | Parkside Manor LLC | Custodial Care Facility | 317 Oddville Avenue, Suite B, Cynthiana, KY 41031 | 2009-08-04 |
| 1467683730 | Shady Lawn LLC | Custodial Care Facility | 108 South Miller Street, Cynthianan, KY 41031 | 2009-08-04 |
| 1326239369 | Wedco District Health Department | Public Health or Welfare | 2415 U.s 27 North, Cynthiana, KY 41031 | 2007-08-06 |
| 1134329881 | Janet Olson | Licensed Practical Nurse | 2207 Shadynook Pike, Cynthiana, KY 41031 | 2007-07-20 |
| 1992836498 | Wal-mart Stores East, L.p. | Technician/Technologist | 805 Us 275, Cynthiana, KY 41031 | 2007-03-08 |
| 1760526909 | Urologic Associates Cynthiana | Specialist | 1210 Kentukcy Hwy 36 E, Cynthiana, KY 41031 | 2007-02-19 |
| 1376684571 | David Allen Shadd II | Psychologist | 111 North Main St., Cynthiana, KY 41031 | 2007-02-09 |
| 1265588990 | Womens Health Clinic of Cynthiana | Obstetrics & Gynecology | 1210 Ky Hwy 36 East, Suite G4, Cynthiana, KY 41031 | 2007-01-26 |
| 1578646204 | Julian Valenton Castillo Jr. | General Practice | 1210 Ky Hwy 36e G1, Cynthiana, KY 41031 | 2006-10-24 |
| Find all providers in zip 41031 | ||||
| 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 |
|---|---|---|---|---|
| 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.