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CH04060AC MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (Active)
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Main Details
Name
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Subdivision Name
Pineville Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014938
340B ID
CH04060AC
Grant Number
H80CS00367
Additional Details
Current Program Status
Active
Registration Date
10/1/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/23/2015
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
251 S Pine Street
PINEVILLE, KY 40977-1646
Billing Address
Mountain Comprehensive Health Corporation
P.O. Box 40
Whitesburg, KY 41858
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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