Local communities near Mouthcard include Fedscreek, which plays host to the local elementary school, as well as Lick Creek, which is home to East Ridge High School.

The Rameys were deeply involved in railroad and logging companies throughout the area, which gave them rights to a large amount of land throughout the region.

In 1977, Mouthcard sustained damage when the Levisa Fork River flooded.

Founded in 1890, it is the oldest known church in the Pike County Association of Southern Baptists.

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