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BL040600 MOUNTAIN COMPREHENSIVE HEALTH CORP. (Active)
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Main Details
Name
MOUNTAIN COMPREHENSIVE HEALTH CORP.
Subdivision Name
WHITESBURG MEDICAL CLINIC
Type
Black Lung Clinics Program
340B ID
BL040600
Grant Number
H37RH00050
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
1/5/2005
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Mountain Comprehensive Health Corporation
L.M. Caudill, CEO
(606) 633-4823
Primary Contact
Mountain Comprehensive Health Corporation
Trevor Mullins, Director of Pharmacy
(606) 633-4871 Ext: 2377
Addresses
Street Address
226 MEDICAL PLAZA LANE
WHITESBURG, KY 41858
Billing Address
Mountain Comprehensive Health Corporation
P.O. Box 40
Whitesburg, KY 41858
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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