KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
NPI 1407043979
Clinic/Center - Federally Qualified Health Center (FQHC) in Hazard, KY
About Kentucky Mountain Health Alliance, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (NPI 1407043979) is a healthcare organization registered as a federally qualified health center (fqhc) in Hazard, Kentucky and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2028, maintains a secondary practice location in Hazard, and lists Ellen Vance, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kentucky Mountain Health Alliance, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Kentucky Mountain Health Alliance, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 18D1029058
Kentucky Mountain Health Alliance, Inc Little Flower Free Clinic · Hazard, KYFrequently 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 Kentucky Mountain Health Alliance, Inc.'s NPI number?
The NPI number for Kentucky Mountain Health Alliance, Inc. is 1407043979. It was assigned to this organization in the NPPES registry on September 28, 2007.
Where is Kentucky Mountain Health Alliance, Inc. located?
Kentucky Mountain Health Alliance, Inc. is located at 279 E Main St, Hazard, KY 41701. The listed phone number is (606) 487-9505.
What is Kentucky Mountain Health Alliance, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Kentucky Mountain Health Alliance, Inc. enrolled in Medicare?
Yes. Kentucky Mountain Health Alliance, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kentucky Mountain Health Alliance, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 5 Medicare specialties reassign their Medicare billing to Kentucky Mountain Health Alliance, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (26), Family Practice (7) and Chiropractic (2). Of these, 1 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kentucky Mountain Health Alliance, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1029058) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kentucky Mountain Health Alliance, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kentucky Mountain Health Alliance, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kentucky Mountain Health Alliance, Inc. was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kentucky Mountain Health Alliance, Inc. · NPI 1407043979
Federally Qualified Health Center (FQHC) organization in Hazard, Kentucky. Organization record, active in the CMS NPPES registry since September 28, 2007.
## Identity
- **NPI:** 1407043979 (Entity type: Organization)
- **Enumerated:** September 28, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ellen Vance, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 279 E MAIN ST, Hazard, KY 41701-1920
- **Phone:** (606) 487-9505 · **Fax:** (606) 436-0071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (26), Family Practice (7), Chiropractic (2); 1 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1407043979/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407043979) · Data from the CMS NPPES public registry.