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CH04060AN MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (Active)
Main Details
Name
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Subdivision Name
MCHC Whitesburg Annex 1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033583
340B ID
CH04060AN
Grant Number
H80CS00367
Contacts
Authorizing Official
Mountain Comprehensive Health Corporation
L.M. Caudill, CEO
(606) 633-4823
Primary Contact
Mountain Comprehensive Health Corporation
Trevor Mullins, Clinical Pharmacist
(606) 633-4871 Ext: 2377
Additional Details
Current Program Status
Active
Registration Date
1/2/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/11/2024
Last Recertification Date
Addresses
Street Address
324 Medical Plaza Ln
Whitesburg, KY 41858-7426
Billing Address
Mountain Comprehensive Health
226 Medical Plaza Ln
Whitesburg, KY 41858
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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