Mountain Comprehensive Health Corporation
Organization Active NPI Nurse Practitioner · Viper, KY
NPI 1699199422 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1699199422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
- Practice address
- 20 Eddington LN
Suite 161
Viper, KY 41774-8226 - Phone
- (606) 633-4823
- NPI assigned
- Feb 14, 2014
- Organization subpart
- No
Authorized official
- Name
- L.M. Caudill
- Title
- Credentialing
- Phone
- (606) 633-4823
National Provider Directory
Locations
20 Eddington Ln
Ste 161
Viper, KY 41774
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
20 Eddington LN
Suite 161
Viper, KY 41774-8226
Mailing address
PO Box 40
Whitesburg, KY 41858-0040
Other names
- Viper Elementary School Based Clinic
Other providers in Viper, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.