Mountain Comprehensive Health Corporation
NPI 1063913788 · Primary Care Clinic/Center · Middlesboro, KY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain Comprehensive Health Corporation is a Primary Care Clinic/Center organization in Middlesboro, KY (NPI 1063913788).
Provider details
- NPI number
- 1063913788
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Delena Miller, Credentialing(606) 633-4823
- License
- 700017 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Middlesboro Campus Clinic
- Doing business as
- Mobile Health Clinic
Additional practice locations (2)
- 100 College Rd Ste 131-132Middlesboro, KY 40965-8303Phone: (606) 654-9450
- 1540 US Highway 25 EMiddlesboro, KY 40965-1861Phone: (606) 654-9450
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Frequently asked questions
- What is Mountain Comprehensive Health Corporation's NPI number?
- Mountain Comprehensive Health Corporation's National Provider Identifier (NPI) is 1063913788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Comprehensive Health Corporation?
- Mountain Comprehensive Health Corporation is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mountain Comprehensive Health Corporation located?
- Mountain Comprehensive Health Corporation's practice location on file with NPPES is 1530 US Highway 25 E, Middlesboro, KY 40965-1861.
- What is Mountain Comprehensive Health Corporation's phone number?
- The practice phone number listed in the NPPES registry for Mountain Comprehensive Health Corporation is (606) 654-9450.
- Does Mountain Comprehensive Health Corporation accept Medicare?
- Mountain Comprehensive Health Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain Comprehensive Health Corporation?
- The authorized official listed on Mountain Comprehensive Health Corporation's NPPES record is Delena Miller, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Comprehensive Health Corporation's NPI active?
- Yes — Mountain Comprehensive Health Corporation's NPI (1063913788) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.