MOUNTAIN COMPREHENSIVE CARE CENTER, INC. – NPI #1518855105
Clinic/Center

MOUNTAIN COMPREHENSIVE CARE CENTER, INC. is an AHC clinic located in HAZARD, KY. NPPES has assigned the NPI number 1518855105 to MOUNTAIN COMPREHENSIVE CARE CENTER, INC. on June 24, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Oct 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAIN COMPREHENSIVE CARE CENTER, INC. below.

NPI Profile for
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.

NPI Number
1518855105
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Primary location
1845 HIGHWAY 15 SOUTH 101-113
HAZARD, KY 41701
Phone: (606) 373-5338 Fax:
Mailing address
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone: (606) 886-8572 Fax:
Organization Subpart
No
Authorized Official
ROXANN CORDIAL
CREDENTIALING MANAGER
Phone: (606) 886-8572
Updated
Certification Date
Oct 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.