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CHC24692-16 MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (Active)
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Main Details
Name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Subdivision Name
HomePlace Clinic - Prestonsburg
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033788
340B ID
CHC24692-16
Grant Number
H80CS24692
Additional Details
Current Program Status
Active
Registration Date
7/15/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/16/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Mountain Comprehensive Care Center
Rachel Willoughby, Program Director
(606) 886-4319
Primary Contact
Mountain Comprehensive Care Center
Kristi Nicole McCoy, 340b Program Coordinator
(606) 886-8572 Ext: 6677
Addresses
Street Address
456 S Lake Dr
Prestonsburg, KY 41653-1298
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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