Kentucky Mountain Health Alliance, Inc.
NPI 1407043979 · Federally Qualified Health Center (FQHC) · Hazard, KY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kentucky Mountain Health Alliance, Inc. is a Federally Qualified Health Center (FQHC) organization in Hazard, KY (NPI 1407043979).
Provider details
- NPI number
- 1407043979
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ellen Vance, Executive Director(606) 487-9505
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Additional practice locations (1)
- 210 Black Gold Blvd Ste 106Hazard, KY 41701-2620Phone: (606) 436-0711Fax: (606) 436-0848
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2024-08-20
- Certified
- 2024-08-19
Frequently asked questions
- What is Kentucky Mountain Health Alliance, Inc.'s NPI number?
- Kentucky Mountain Health Alliance, Inc.'s National Provider Identifier (NPI) is 1407043979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kentucky Mountain Health Alliance, Inc.?
- Kentucky Mountain Health Alliance, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Kentucky Mountain Health Alliance, Inc. located?
- Kentucky Mountain Health Alliance, Inc.'s practice location on file with NPPES is 279 E Main St, Hazard, KY 41701-1920.
- What is Kentucky Mountain Health Alliance, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kentucky Mountain Health Alliance, Inc. is (606) 487-9505.
- Does Kentucky Mountain Health Alliance, Inc. accept Medicare?
- Kentucky Mountain Health Alliance, Inc. 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 Kentucky Mountain Health Alliance, Inc.?
- The authorized official listed on Kentucky Mountain Health Alliance, Inc.'s NPPES record is Ellen Vance, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kentucky Mountain Health Alliance, Inc.'s NPI active?
- Yes — Kentucky Mountain Health Alliance, Inc.'s NPI (1407043979) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.