Whalio Doctors

NPI 1003164203

Mountain Comprehensive Health Corporation

Organisation Primary Care Clinic/Center Whitesburg, KY

Practice location

Address
185 Circle Dr STE a, Whitesburg, KY 41858-7662
Phone
(606) 633-4823
Fax
(606) 633-1874
Mailing address
PO Box 40, Whitesburg, KY 41858-0040

Authorised official

Name
L.M. (mike) Caudill
Title
Ceo
Phone
(606) 633-4823

Registered specialties (5)

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Primary Care Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X

Registry record

NPI
1003164203
Entity type
Organization
NPI issued
17 Aug 2012
Record last updated
29 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.