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Contact Information

MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
1330 SOUTH MAYO TRAIL
NOVA COMPLEX, SUITE 102
PIKEVILLE, KY41501
 Phone: 606-886-8572
 Fax: 606-886-4433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MOUNTAIN COMPREHENSIVE CARE CENTER, INC.

NPI Number 1124883574
LBN Legal business name MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Authorized official ROXANN CORDIAL - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2024
Last updated 02/15/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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