OrganizationActive
Mountain Comprehensive Care Center, Inc.
NPI 1699456129 · Federally Qualified Health Center (FQHC) · Martin, KY
Provider details
- NPI number
- 1699456129
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roxann Cordial, Credentialing Manager(606) 886-8572
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
263 Ky Route 122
Martin, KY 41649-9006
Phone: (606) 886-8572
Fax: (606) 886-4433
Street-level locationGet directions
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Other names (DBA / former)
- Doing business as
- Homeplace Clinic Martin
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.