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CH04060J MOUNTAIN COMPREHENSIVE HEALTH CORP., INC. (Active)
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Main Details
Name
MOUNTAIN COMPREHENSIVE HEALTH CORP., INC.
Subdivision Name
HARLAN MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005425
340B ID
CH04060J
Grant Number
H80CS00367
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
132 Village Center Rd
Harlan, KY 40831-1777
Billing Address
MOUNTAIN COMPREHENSIVE HEALTH CORP.
P.O. Box 40
WHITESBURG, KY 41858
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 10/01/2004
08/12/2005
April 2025
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