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KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
NPI 1407043979
Clinic/Center - Federally Qualified Health Center (FQHC) in Hazard, KY

Active since September 28, 2007CLIA 18D1029058 · Waiver
279 E MAIN ST, HAZARD, KY 41701(606) 487-9505(606) 436-0071 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2024, Nov 3, 2023, Aug 30, 2023 and 3 more (6 updates tracked since 2018).

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, 2026, maintains a secondary practice location in Hazard, and lists Ellen Vance, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407043979
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
Location Address279 E MAIN STHazard, KY 41701-1920
Mailing Address279 E Main St Ste 300Hazard, KY 41701-1920 · (606) 487-9505 · Fax (606) 436-0071
Phone(606) 487-9505
Fax(606) 436-0071
Organization SubpartNo
Authorized OfficialEllen VanceExecutive Director · (606) 487-9505
Enumeration DateSeptember 28, 2007
Last NPPES UpdateAugust 20, 20246 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1407043979 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
279 E MAIN ST, Hazard, KY 41701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1210 Black Gold Blvd Ste 106Hazard, KY 41701-2620 · Phone (606) 436-0711 · Fax (606) 436-0848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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, KY
Active · expires Aug 8, 2026
CLIA Number18D1029058
Laboratory TypeOther
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDr. Amber B. Spicer
Laboratory Phone(606) 487-9505
Laboratory LocationKentucky Mountain Health Alliance, Inc Little Flower Free Clinic279 East Main Street, Hazard, KY 41701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

EAST MAIN STREET PHARMACY
Pharmacy (Community/Retail Pharmacy)
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-0107
VERA HOPPER APRN
Nurse Practitioner (Family)
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-9505
MRS. BRANDI MICHELLE MCCOY MSN, APRN, FNP-C
Nurse Practitioner (Family)
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-9505
JENNY FAYE MULLINS D.O.
Family Medicine
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-9505
MS. ALLYSON NICHOLE WILLIAMS ARNP
Nurse Practitioner
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-9505
DR. AMBER BROOKE SPICER D.O.
Family Medicine
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-9505
DR. TAMARA WHITE KARELIS DMD
Dentist (General Practice)
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-9505
BRANDI CARMICAL APRN
Nurse Practitioner (Psychiatric/Mental Health)
279 E MAIN ST
HAZARD, KY 41701
Perry County (606) 487-9505

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 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.

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, 2026. 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 from Home State Health and Ambetter of Tennessee 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 with the weekly NPPES data releases published by CMS.