Whalio Doctors

NPI 1417900242

Mountain Comprehensive Health Corporation

Organisation Primary Care Clinic/Center Whitesburg, KY

Practice location

Address
226 Medical Plaza Ln, Whitesburg, KY 41858-7425
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
Chief Executive Officer
Phone
(606) 633-4823

Registered specialties (10)

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X
Dentist
Dental Providers Taxonomy 122300000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X
Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X
Advanced Practice Midwife
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Registry record

NPI
1417900242
Entity type
Organization
NPI issued
19 May 2006
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.