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MOUNTAIN COMPREHENSIVE CARE CENTER
NPI 1083865596
Case Management in Prestonsburg, KY

Active since October 02, 2008CLIA Certified · 3 labs
104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Comprehensive Care Center NPPES

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

MOUNTAIN COMPREHENSIVE CARE CENTER (NPI 1083865596) is a healthcare organization registered as a case management in Prestonsburg, Kentucky and active in the NPI registry since October 2008. The organization holds 3 active CLIA laboratory certificates and lists Promod Bishnoi, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083865596
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameMOUNTAIN COMPREHENSIVE CARE CENTER
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Organization SubpartNo
Authorized OfficialPromod BishnoiExecutive Director · (606) 886-8572
Enumeration DateOctober 2, 2008
Last NPPES UpdateDecember 4, 2008
✔ NPI 1083865596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
104 S FRONT AVE, Prestonsburg, KY 41653
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CLIA Laboratory Certificates CMS CLIA 3

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 18D2257561

Mountain Comprehensive Care Center - Homeplace Clinic · Winchester, KY
Active · expires Apr 6, 2028
CLIA Number18D2257561
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center - Homeplace Clinic123 N Main Street, Winchester, KY 40391
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2257566

Mountain Comprehensive Care Center - Homeplace Clinic · Ashland, KY
Active · expires Apr 6, 2028
CLIA Number18D2257566
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center - Homeplace Clinic2222 Winchester Ave, Ashland, KY 41101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2228283

Mountain Comprehensive Care Center - Homeplace Clinic · Jenkins, KY
Active · expires Jun 23, 2027
CLIA Number18D2228283
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center - Homeplace Clinic29 Cabin Fork Rd, Jenkins, KY 41537
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 20

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

PETER SMITHWICK OLIVER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
PHILLIP CAUDILL
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
RACHAEL WILLOUGHBY
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
BRITTANY SANDERS
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
DONNA CRIDER
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
ANDREA HURLEY
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
AMY KNOTT
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
CHELSEA GOBLE
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572

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's NPI number?

The NPI number for Mountain Comprehensive Care Center is 1083865596. It was assigned to this organization in the NPPES registry on October 2, 2008.

Where is Mountain Comprehensive Care Center located?

Mountain Comprehensive Care Center is located at 104 S Front Ave, Prestonsburg, KY 41653. The listed phone number is (606) 886-8572.

What is Mountain Comprehensive Care Center's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does Mountain Comprehensive Care Center hold CLIA laboratory certificates?

Yes. 3 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 was last updated on December 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.