Active NPI
Mountain Comprehensive Health Corporation
- Primary Care Clinic/Center
- Letcher, KY
National Provider Identifier
1679821995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
- Practice address
- 162 LHS Drive
Letcher, KY 41832 - Phone
- (606) 633-4823
- NPI assigned
- Aug 16, 2012
- 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
- L.M. (Mike) Caudill
- Title
- Ceo
- Phone
- (606) 633-4823
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
162 LHS Drive
Letcher, KY 41832
Mailing address
PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4823
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524009600000",
"number": "1679821995",
"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": "162 LHS DRIVE",
"city": "LETCHER",
"state": "KY",
"postal_code": "41832",
"telephone_number": "606-633-4823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN COMPREHENSIVE HEALTH CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-16",
"last_updated": "2018-04-18",
"status": "A",
"authorized_official_last_name": "CAUDILL",
"authorized_official_first_name": "L.M. (MIKE)",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "606-633-4823"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Letcher, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.