340B Drug Pricing Program Database
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CHC24692-17 MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (Active)
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Main Details
Name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Subdivision Name
HomePlace Clinic - Louisa
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038896
340B ID
CHC24692-17
Grant Number
H80CS24692
Additional Details
Current Program Status
Active
Registration Date
10/3/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/4/2024
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
118 Blairs Way
Louisa, KY 41230-5035
Billing Address
Mountain Comprehensive Care Center
104 S Front Ave
Prestonsburg, KY 41653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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