NPIMap

Organization Active NPI

Mountain Comprehensive Health Corporation

Doing business as Knott County Medical Clinic Pharmacy

  • Pharmacy
  • Hindman, KY
National Provider Identifier
1720824519
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Doing business as
Knott County Medical Clinic Pharmacy
Practice address
396 Hwy 599
Hindman, KY 41822
Phone
(606) 633-4871
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Delena P Miller
Title
Credentialing Agent
Phone
(606) 633-4823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

396 Hwy 599
Hindman, KY 41822

Mailing address

PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4871

Other names 1

  • KNOTT COUNTY MEDICAL CLINIC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MTN Comprehensive HLTH35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1720824519",
    "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": "606-633-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 HWY 599",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "41822",
            "telephone_number": "606-633-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMPREHENSIVE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DELENA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "606-633-4823"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNOTT COUNTY MEDICAL CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hindman, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.