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MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
NPI 1013728740
Clinic/Center - Federally Qualified Health Center (FQHC) in Martin, KY

Active since January 14, 2025CLIA Certified · 6 labs
11206 MAIN ST, MARTIN, KY 41649(606) 285-3142 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Comprehensive Care Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI 1013728740), doing business as Homeplace Behavioral Health - Martin, is a healthcare organization registered as a federally qualified health center (fqhc) in Martin, Kentucky and active in the NPI registry since January 2025. The organization holds 6 active CLIA laboratory certificates and lists Roxann Cordial, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1013728740
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Location Address11206 MAIN STMartin, KY 41649
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 285-3142
Organization SubpartNo
Authorized OfficialRoxann CordialCredentialing Manager · (606) 886-8572
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1013728740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
11206 MAIN ST, Martin, KY 41649
Open in Google Maps ↗

Other Names 1

Doing Business AsHomeplace Behavioral Health - Martin

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2305149

Mountain Comprehensive Care Center, Inc - Homeplace Clinic · Prestonsburg, KY
Active · expires May 27, 2028
CLIA Number18D2305149
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center, Inc - Homeplace Clinic456 South Lake Drive, Prestonsburg, KY 41653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2290787

Mountain Comprehensive Care Center, Inc - Homeplace Clinic · Martin, KY
Active · expires Sep 29, 2027
CLIA Number18D2290787
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center, Inc - Homeplace Clinic263 Ky Route 122, Martin, KY 41649
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2327885

Mountain Comprehensive Care Center, Inc Homeplace Clinic · Salyersville, KY
Active · expires Jul 30, 2027
CLIA Number18D2327885
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center, Inc Homeplace Clinic540 Parkway Drive, Salyersville, KY 41465
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D1004267

Mountain Comprehensive Care Center Inc Homeplace Clinic · Chavies, KY
Active · expires May 27, 2027
CLIA Number18D1004267
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center Inc Homeplace Clinic270 First Street, Chavies, KY 41727
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2269354

Mountain Comprehensive Care Center - Homeplace Ob/Gyn · Prestonsburg, KY
Active · expires Sep 25, 2026
CLIA Number18D2269354
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorDr. Jessica Branham
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center - Homeplace Ob/Gyn22 Harbor Lane, Prestonsburg, KY 41653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 18D2190628

Mountain Comprehensive Care Center - Homeplace Clinic · Inez, KY
Active · expires Aug 17, 2026
CLIA Number18D2190628
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center - Homeplace Clinic428 E Main Street, Inez, KY 41224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE BURGESS MA/PE
Counselor (Mental Health)
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142
ANGELA HAMILTON BA/PE
Social Worker
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142
AMY MONTGOMERY MHA
Counselor (Mental Health)
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142
MELENA CLARK BS
Day Training/Habilitation Specialist
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142
SHERRIE TIBBS RN
Registered Nurse (Psychiatric/Mental Health)
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142
RONALD D. MULLINS BA
Day Training/Habilitation Specialist
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142
IRA BONITA SLONE BA
Day Training/Habilitation Specialist
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142
CAMMIE LAWSON BA/PE
Social Worker
11206 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Comprehensive Care Center, Inc.'s NPI number?

The NPI number for Mountain Comprehensive Care Center, Inc. is 1013728740. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Homeplace Behavioral Health - Martin.

Where is Mountain Comprehensive Care Center, Inc. located?

Mountain Comprehensive Care Center, Inc. is located at 11206 Main St, Martin, KY 41649. The listed phone number is (606) 285-3142.

What is Mountain Comprehensive Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Mountain Comprehensive Care Center, Inc. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mountain Comprehensive Care Center, Inc. was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.