Active NPI
Mountain Comprehensive Care Center, Inc.
Doing business as Homeplace Clinic Whitesburg
- Federally Qualified Health Center (FQHC)
- Whitesburg, KY
National Provider Identifier
1285547695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
- Doing business as
- Homeplace Clinic Whitesburg
- Practice address
- 4236 Highway 15
Whitesburg, KY 41858-8576 - Phone
- (606) 886-8572
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- 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
- Roxann Cordial
- Title
- Credentialing Manager
- Phone
- (606) 886-8572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
4236 Highway 15
Whitesburg, KY 41858-8576
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
Other names 1
- Homeplace Clinic Whitesburg
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1285547695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S FRONT AVE",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531614",
"telephone_number": "606-886-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4236 HIGHWAY 15",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418588576",
"telephone_number": "606-886-8572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN COMPREHENSIVE CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "CORDIAL",
"authorized_official_first_name": "ROXANN",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "606-886-8572"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Homeplace Clinic Whitesburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whitesburg, KY
- Vahid Mehrpouyan, MD
- Mending Hearts
- Michele Amburgey M a Certified Psychologist PSC
- Bernardine F Miracle, RPH
- April Shepherd Morrell, M.A. CCC-SLP
- Mountain Comprehensive Health Corp Specialty Services
- Mountain Comprehensive Health Corporation
- Mountain Comprehensive Health Corporation (Mountain Comprehensive Specialty Services)
- Mountain Comprehensive Health Corporation (MCHC Whitesburg Annex 1)
- Mountain Comprehensive Health Corporation (MCHC Home Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.