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CHC24692-01 MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (Terminated)
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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-H80-014906
340B ID
CHC24692-01
Grant Number
H80CS24692
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/13/2015
Last Recertification Date
1/31/2024
Termination Date
Termination Reason
1/1/2025
Other
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
130 Town Hill Road, Louisa Plaza Shopping Center
Louisa, KY 41230-6389
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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