HOMEPLACE CLINIC ASHLAND – NPI #1801544861
Clinic/Center

HOMEPLACE CLINIC ASHLAND is an AHC clinic located in ASHLAND, KY. NPPES has assigned the NPI number 1801544861 to HOMEPLACE CLINIC ASHLAND on March 17, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HOMEPLACE CLINIC ASHLAND” is a dba name, the actual legal business name for this organization is MOUNTAIN COMPREHENSIVE CARE CENTER, INC.. 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 previously updated about 4 years ago on Aug 03, 2022. 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 HOMEPLACE CLINIC ASHLAND below.

NPI Profile for
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.

NPI Number
1801544861
Enumeration Date

(more than 4 years 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.
Doing Business As (dba): HOMEPLACE CLINIC ASHLAND
Primary location
2222 WINCHESTER AVE
ASHLAND, KY 41101-7847
Phone: (606) 886-8572 Fax:
Mailing address
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone: (606) 886-8572 Fax: (606) 886-4433
Organization Subpart
No
Authorized Official
ROXANN CORDIAL
CREDENTIALING COORDINATOR
Phone: (606) 886-8572
Updated
Certification Date
Aug 03, 2022

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.