NPI 1053071159
Mountain Comprehensive Health Corporation
Practice location
- Address
- 324 Medical Plaza Ln, Whitesburg, KY 41858-7426
- Phone
- (606) 633-6074
- Mailing address
- PO Box 40, Whitesburg, KY 41858-0040
Authorised official
- Name
- Delena P Miller
- Title
- Credentialing
- Phone
- (606) 633-4823
Registered specialties (2)
Primary Care Clinic/Center
Primary
Federally Qualified Health Center (FQHC)
Registry record
- NPI
- 1053071159
- Entity type
- Organization
- NPI issued
- 30 Dec 2021
- Record last updated
- 7 Oct 2024
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.