MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI# 1730688359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730688359 |
Entity Type | Organization |
Organization Name | MOUNTAIN COMPREHENSIVE CARE CENTER, INC. |
Other Organization Name | HOMEPLACE CLINIC PIKEVILLE |
Practice Address |
118 River Dr Pikeville KY 41501-1597 |
Practice Telephone | 6064332303 |
Practice Fax Number | 6064375412 |
Mailing Telephone | 6064332303 |
Mailing Fax Number | 6064375412 |
Enumeration Date | 2018-02-09 |
Last Update Date | 2018-02-09 |
Authorized Official Name | ROXANN CORDIAL (CREDENTIALING) |
Authorized Official Telephone | 6068868572 |
Is Organization Subpart | Y |
Parent Organization Name | MOUNTAIN COMPREHENSIVE CARE CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
700264 | KY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Homeplace Clinic | Doing Business As Name - Organization |
Homeplace Clinic Pikeville | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770121972 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 210 S Walnut St, Cynthiana, KY 41031-1541 | 2019-12-18 |
1265083141 | Mountain Comprehensive Care Center, Inc. | Pharmacy | 242 W Court St, Prestonsburg, KY 41653-7724 | 2019-09-23 |
1194224717 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 26229 Us Highway 119 N Ste A, Belfry, KY 41514-7416 | 2018-02-09 |
1114426863 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 130 Town Hill Rd, Louisa, KY 41230-6389 | 2018-02-08 |
1265944060 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 525 Dotson Branch, Salyersville, KY 41465 | 2017-11-02 |
1699386078 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 838 S Mayo Trl, Paintsville, KY 41240-1384 | 2020-08-11 |
1285244244 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 428 E Main St, Inez, KY 41224-8931 | 2020-08-05 |
1295385599 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-18 |
1356990337 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-11 |
1346899275 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-04 |
Street Address |
118 RIVER DR |
City | PIKEVILLE |
State | KY |
Zip Code | 41501-1597 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588674287 | Dorothy Holian | Psychologist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-08 |
1730368416 | Felecia D. Kilgore | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-10-30 |
1114106895 | Andrea Kneal Meade | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-10-30 |
1245438407 | Tasha Mullins | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-07-10 |
1992859813 | Susan Yonts | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-22 |
1720131907 | Cindy Akers | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-19 |
1124171319 | Melissa Blankenship | Registered Nurse | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-19 |
1558414755 | Walter Lane | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-19 |
1831252709 | Nancy Gilliam | Licensed Practical Nurse | 118 River Dr, Pikeville, KY 41501-1597 | 2006-12-19 |
1043320047 | Ann M. Francis | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
Find all providers in zip 41501 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265645204 | Ocoee Regional Health Corporation | Clinic/Center | 3625 Us 127, Pikeville, TN 37367 | 2007-05-07 |
1831661404 | Big Sandy Health Care Inc | Clinic/Center | 50 Weddington Branch Rd Ste B, Pikeville, KY 41501-3296 | 2018-12-20 |
1437286770 | Pikeville Medical Center, Inc. (pikeville Family Practice Clinic) | Clinic/Center | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2007-02-27 |
1700828597 | Big Sandy Health Care Inc | Clinic/Center | 178 Douglas Pkwy, Shelby Valley Clinic, Pikeville, KY 41501-6970 | 2006-06-13 |
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1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
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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.