Mountain Comprehensive Health Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

Doing business as

Owsley County Elementary School Based Clinic

Practice address

372 Ky 28 Ste a
Booneville, KY 41314-7325

Phone

(606) 593-7888

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By 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

Delena P Miller

Title

Credentialing

Phone

(606) 633-4823

Specialties & licenses 2

Addresses

Other names 1

• Owsley County Elementary School Based Clinic Doing business as

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1598247447",
    "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": "372 KY 28 STE A",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413147325",
            "telephone_number": "606-593-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMPREHENSIVE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DELENA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "606-633-4823"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owsley County Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilia T McGloin, LMHC
• Candace McQueen, PHARMD
• Mountain Comprehensive Health Corporation
• Mountain Comprehensive Health Corporation (Owsley County High School Based Clinic)
• Mountain Comprehensive Health Corporation (MCHC Owsley County Pharmacy)
• Mountain Physical Therapy, PLLC
• Jessica Neace, APRN
• Owsley County Board of Education
• Owsley County Health Care Center, Inc.
• Charles Michael Patrick Jr., PHARMD

• Primary Care Clinic/Center in Booneville, KY
• Providers in Booneville, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.