MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (NPI# 1609358159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609358159 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMPREHENSIVE HEALTH CORPORATION |
| Other Organization Name | PINEVILLE INDEPENDENT SCHOOL BASED CLINIC |
| Practice Address |
401 W Virginia Ave Ste A Pineville KY 40977-1321 |
| Mailing Address |
Po Box 40 Whitesburg KY 41858-0040 |
| Practice Telephone | 6066549570 |
| Mailing Telephone | 6066334823 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | DELENA P MILLER (CREDENTIALING) |
| Authorized Official Telephone | 6066334823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pineville Independent School Based Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1679821995 | Mountain Comprehensive Health Corporation | Family Medicine | 162 Lhs Drive, Letcher, KY 41832 | 2012-08-16 |
| Street Address |
401 W VIRGINIA AVE STE A |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497888655 | Community Health & Wellness Clinic, LLC | Clinic/Center | 4219 Highway 28 E, Pineville, LA 71360-5767 | 2007-03-14 |
| 1346379336 | Huey P. Long Medical Center | Clinic/Center | 352 Hospital Rd, Pineville, LA 71360 | 2007-03-05 |
| 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 | ||||
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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.