Mountain Comprehensive Health Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

Doing business as

Leatherwood Elementary School Based Clinic

Practice address

7777 Ky Highway 699
Suite a
Cornettsville, KY 41731-9013

Phone

(606) 633-4823

NPI assigned

Feb 12, 2014

Last updated

Apr 23, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

L.M. Caudill

Title

Ceo

Phone

(606) 633-4823

Specialties & licenses 3

Addresses

Other names 1

• Leatherwood Elementary School Based Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1144644022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418580040",
            "telephone_number": "606-633-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 KY HIGHWAY 699",
            "address_2": "SUITE A",
            "city": "CORNETTSVILLE",
            "state": "KY",
            "postal_code": "417319013",
            "telephone_number": "606-633-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMPREHENSIVE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "L.M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-633-4823"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leatherwood Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelcie Logan Gregory, DO
• Matthew Holbrook, PA C
• Susan Hull, FNP
• Stacey Johnson, MD
• L B Clinic Pharmacy
• Mountain Comprehensive Health Corporation
• Mountain Comprehensive Health Corporation (Leatherwood Pharmacy)
• Austin Parker Roberts, PA-C

• Nurse Practitioner in Cornettsville, KY
• Providers in Cornettsville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.