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CHC24692-03 MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (Active)
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Main Details
Name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Subdivision Name
HomePlace Clinic - Prestonsburg
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014502
340B ID
CHC24692-03
Grant Number
H80CS24692
Additional Details
Current Program Status
Active
Registration Date
10/17/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
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
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
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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