MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (NPI# 1992251185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992251185 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMPREHENSIVE HEALTH CORPORATION |
| Practice Address |
1620 E Main St Cumberland KY 40823-1837 |
| Mailing Address |
Po Box 40 Whitesburg KY 41858-0040 |
| Practice Telephone | 6065896113 |
| Practice Fax Number | 6065894436 |
| Mailing Telephone | 6066334823 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | L,M. CAUDILL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6066334823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
700017 | KY | Dental Providers |
| N | 207Q00000X | Family Medicine | 700017 | KY | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
700017 | KY | 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 |
1620 E MAIN ST |
| City | CUMBERLAND |
| State | KY |
| Zip Code | 40823-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212302 | Tracey Nycole Blakley | Nurse Practitioner | 1620 E Main St, Cumberland, KY 40823 | 2019-02-27 |
| 1992250286 | Christa Leigh Addington | Nurse Practitioner | 1620 E Main St, Cumberland, KY 40823-1837 | 2016-08-17 |
| 1447332820 | Clyde Emmitt Blair | Dentist | 1620 E Main St, Cumberland, KY 40823-1837 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801002977 | Dinah B Day | Case Manager/Care Coordinator | 4413 Cloverlick Rd, Cumberland, KY 40823 | 2007-05-15 |
| 1891890539 | Appalachian Regional Healthcare Inc | Pharmacy | 18880 N Us 119, Cumberland, KY 40823 | 2006-09-14 |
| 1770538613 | Cumberland Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 1803 East Main Street, Cumberland, KY 40823 | 2006-05-22 |
| 1366561797 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823 | 2007-03-28 |
| 1720112691 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823 | 2007-03-15 |
| 1629232673 | Michael A Sergent | Occupational Therapist | 19101 Us 119, Britthaven of Tri-cities, Cumberland, KY 40823-0079 | 2008-07-17 |
| 1366488934 | Homer Richard Fortney | Dentist | 110 Myers Street, Cumberland, KY 40823-0426 | 2006-06-21 |
| 1518586478 | Justin Newsome | Nurse Practitioner | 209 Field St, Cumberland, KY 40823-1407 | 2020-04-10 |
| 1326415084 | Chad Fields | Occupational Therapist | 222 Field St, Cumberland, KY 40823-1408 | 2015-08-28 |
| 1346735214 | Stepp Fitness | Specialist | 1306 Kingdom Come Dr, Cumberland, KY 40823-1580 | 2018-06-24 |
| Find all providers in zip 40823 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1316939614 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823-8106 | 2005-08-22 |
| 1508166752 | Mountain View Primary Care Inc | Clinic/Center | 1602 Ford Ave, Cumberland, MD 21502-4612 | 2010-10-21 |
| 1568669869 | Primary Care of Northern Rhode Island | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3833 | 2007-06-29 |
| 1174532238 | F Daniel Jackson, Md, Pa | Clinic/Center | 130 Pennsylvania Ave, Cumberland, MD 21502-4236 | 2006-08-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 40823 |
Please comment or provide details below to improve the information on MOUNTAIN COMPREHENSIVE HEALTH CORPORATION.
| 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.