Mountain Comprehensive Care Center, Inc.

Key facts

NPI: 1265083141
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
Legal business name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Practice address: 24 Harbor LN
Prestonsburg, KY 41653-9176
Phone: (606) 886-8572
Fax: (606) 886-4431
NPI assigned: Sep 23, 2019
Organization subpart: Yes
Parent organization (as reported): MOUNTAIN COMPREHENSIVE CARE CENTER, INC.

Authorized official

Name: Roxann Cordial
Title: Credentialing
Phone: (606) 886-8572

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Martin, KY · NPI 1013728740

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Prestonsburg, KY · NPI 1023517679

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Louisa, KY · NPI 1114426863

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Paintsville, KY · NPI 1184182180

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Jenkins, KY · NPI 1184298580

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Belfry, KY · NPI 1194224717

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Inez, KY · NPI 1285244244

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Prestonsburg, KY · NPI 1336989292

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Prestonsburg, KY · NPI 1346963261

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Salyersville, KY · NPI 1396583068

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Pikeville, KY · NPI 1477136844

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Grayson, KY · NPI 1518441260

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Paintsville, KY · NPI 1548094808

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Winchester, KY · NPI 1568102432

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Chavies, KY · NPI 1568253904

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Prestonsburg, KY · NPI 1568276020

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Paintsville, KY · NPI 1578811774

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Martin, KY · NPI 1699456129

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Pikeville, KY · NPI 1730688359

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Mental Health Counselor · Prestonsburg, KY · NPI 1760491674

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Cynthiana, KY · NPI 1770121972

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Ashland, KY · NPI 1801544861

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · David, KY · NPI 1972333649

Same PAC ID 5294720553
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Inez, KY · NPI 1992505663

Same PAC ID 5294720553

Corporate family (same tax ID) 43

Organizations that report the same tax identification number in the National Provider Directory.

Mountain Comprehensive Care Center Case Management Agency · Prestonsburg, KY · NPI 1083865596

NPD tax ID
Mountain Comprehensive Care Center Case Management Agency · Prestonsburg, KY · NPI 1548449069

NPD tax ID
Mountain Comprehensive Care Center Case Management Agency · Prestonsburg, KY · NPI 1639358153

NPD tax ID
Mountain Comprehensive Care Center Case Management Agency · Prestonsburg, KY · NPI 1881890606

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Martin, KY · NPI 1013728740

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Prestonsburg, KY · NPI 1023517679

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Louisa, KY · NPI 1114426863

NPD tax ID
Mountain Comprehensive Care Center, Inc. Community/Retail Pharmacy · Pikeville, KY · NPI 1124883574

NPD tax ID
Mountain Comprehensive Care Center, Inc. Psychiatric Residential Treatment Facility · Prestonsburg, KY · NPI 1174989412

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Paintsville, KY · NPI 1184182180

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Jenkins, KY · NPI 1184298580

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Belfry, KY · NPI 1194224717

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Hazard, KY · NPI 1255225306

NPD tax ID
Mountain Comprehensive Care Center, Inc. Adult Day Care Clinic/Center · Salyersville, KY · NPI 1265944060

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Inez, KY · NPI 1285244244

NPD tax ID
Mountain Comprehensive Care Center, Inc. Multi-Specialty Clinic/Center · Prestonsburg, KY · NPI 1295385599

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Prestonsburg, KY · NPI 1336989292

NPD tax ID
Mountain Comprehensive Care Center, Inc. Adolescent and Children Mental Health Clinic/Center · Prestonsburg, KY · NPI 1346899275

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Prestonsburg, KY · NPI 1346963261

NPD tax ID
Mountain Comprehensive Care Center, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Prestonsburg, KY · NPI 1356990337

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Salyersville, KY · NPI 1396583068

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Wheelwright, KY · NPI 1417821216

NPD tax ID
Mountain Comprehensive Care Center, Inc. Community Health Clinic/Center · Prestonsburg, KY · NPI 1457228603

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Ashland, KY · NPI 1467346510

NPD tax ID
Mountain Comprehensive Care Center, Inc. Federally Qualified Health Center (FQHC) · Pikeville, KY · NPI 1477136844

NPD tax ID

View all 43

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Sheila Adkins, NP Family Nurse Practitioner · Prestonsburg, KY · NPI 1740649607

Care Compare group
Melissa Aguilar, APRN Family Nurse Practitioner · Cynthiana, KY · NPI 1407367493

Care Compare group
Kacee Akers Nurse Practitioner · Prestonsburg, KY · NPI 1144088766

Care Compare group
Brooke Leemae Bays, APRN Family Nurse Practitioner · Prestonsburg, KY · NPI 1821605387

Care Compare group
Imani Blunt, LCSW Clinical Social Worker · Prestonsburg, KY · NPI 1639657802

Care Compare group
Kyndra Boone, PMHNP Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1154001840

Care Compare group
Kristin J Bowman, APRN Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1427457803

Care Compare group
Karen Bradley, APRN Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1114528536

Care Compare group
Jessica Lee Branham, D.O. Obstetrics & Gynecology Physician · Prestonsburg, KY · NPI 1144537812

Care Compare group
Jessica Briggs, LCSW Clinical Social Worker · Prestonsburg, KY · NPI 1558982140

Care Compare group
Elizabeth Le'Ann Browning, APRN Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1255975629

Care Compare group
Lindsay Michelle Burroughs, APRN Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1093321770

Care Compare group
James Adam Butler, LPCC Professional Counselor · Prestonsburg, KY · NPI 1194209700

Care Compare group
Angela M Campbell, APRN Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1114171956

Care Compare group
Deonna Campbell, APRN-PMHNP Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1821664350

Care Compare group
Jessica Campbell, APRN Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1174173439

Care Compare group
Sarah J Campbell, APRN Family Nurse Practitioner · Prestonsburg, KY · NPI 1477896306

Care Compare group
Carla J Castle, APRN-FNP Nurse Practitioner · Prestonsburg, KY · NPI 1184597593

Care Compare group
Robert Darrell Castle II, LCADC/LPCC Addiction (Substance Use Disorder) Counselor · Prestonsburg, KY · NPI 1033588785

Care Compare group
Amanda Chafins Psychiatric/Mental Health Nurse Practitioner · Paintsville, KY · NPI 1851973044

Care Compare group
Sarah Coleman, LCSW Clinical Social Worker · Prestonsburg, KY · NPI 1346716651

Care Compare group
Keisha Combs, LCSW Clinical Social Worker · Prestonsburg, KY · NPI 1114662384

Care Compare group
Carolyn Compton, APRN Family Nurse Practitioner · Prestonsburg, KY · NPI 1881098754

Care Compare group
Martha E. Copley Coleman, LCSW Clinical Social Worker · Pikeville, KY · NPI 1487768990

Care Compare group
Ashley Cornett, APRN, PMHNP-BC Psychiatric/Mental Health Nurse Practitioner · Prestonsburg, KY · NPI 1295024297

Care Compare group

View all 88

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20230126003381	KY	Part B Supplier - Pharmacy	5294720553	Practice locations: Prestonsburg, KY

National Provider Directory

Tax ID family: Mountain Comprehensive Ca (44 organizations share this tax ID)
Part of: Mountain Comprehensive Ca

Locations

24 Harbor Ln
Prestonsburg, KY 41653
Phone (606) 939-4560

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X			Yes

Addresses

Primary practice location

24 Harbor LN
Prestonsburg, KY 41653-9176

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other names

Mountain Care Pharmacy Doing business as

Other providers in Prestonsburg, KY

All providers in Prestonsburg, KY · Community/Retail Pharmacy in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.