Active NPI
Mountain Health Care
- Community/Behavioral Health Agency
- Prestonsburg, KY
National Provider Identifier
1205468147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MOUNTAIN HEALTH CARE
- Practice address
- 3056 Ky Route 321
Prestonsburg, KY 41653-9105 - Phone
- (606) 793-4510
- NPI assigned
- Feb 9, 2020
- Last updated
- Dec 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjay Srivastava
- Title
- Organizer
- Phone
- (606) 793-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3056 Ky Route 321
Prestonsburg, KY 41653-9105
Mailing address
PO Box 494
Hagerhill, KY 41222-0494
National Provider Directory
National Provider DirectoryLocations
3056 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-1714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607904000000",
"number": "1205468147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 494",
"city": "HAGERHILL",
"state": "KY",
"postal_code": "412220494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3056 KY ROUTE 321",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539105",
"telephone_number": "606-793-4510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-09",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A",
"authorized_official_last_name": "SRIVASTAVA",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "606-793-4510"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prestonsburg, KY
- Mountain Comprehensive Care Center, Inc.
- Mountain Comprehensive Care Center, Inc. (Homeplace Dental)
- Mountain Comprehensive Care Center, Inc.
- Mountain Comprehensive Care Center, Inc.
- Mountain Comprehensive Care Center, Inc.
- Amanda Moyers
- MPD Enterprises LLC
- Angelique Mullins
- Brittni Mullins
- Chelsea Mullins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.