Mountain Comprehensive Care Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MOUNTAIN COMPREHENSIVE CARE CENTER, INC.

Doing business as

Christ Care Pediatrics

Practice address

137 State Route 3117
South Shore, KY 41175-9597

Phone

(606) 932-2079

Fax

(606) 932-2313

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By 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

Roxann Cordial

Title

Credentialing Manager

Phone

(606) 886-8572

Specialties & licenses 1

Addresses

Other names 1

• Christ Care Pediatrics Doing business as

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1730084575",
    "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": "137 STATE ROUTE 3117",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411759597",
            "telephone_number": "606-932-2079",
            "fax_number": "606-932-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMPREHENSIVE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "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": "Christ Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Forrest Elmer Monoskie, DC
• Karen Sue Morrow I, STNA
• Jessica Paige Mullins, HOME HEALTH AIDE
• Debra Dee Munn, APRN-BC
• Tiffany Nickel
• Abigail Jo Osborn, OTR/L
• Karen Palmer

• Federally Qualified Health Center (FQHC) in South Shore, KY
• Providers in South Shore, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.