Grace Community Health Center, Inc.

LBN: Grace Community Health Center, Inc.
Grace Community Health Center, Inc. is an health care organization with primary practice located at 14662 N Us Highway 25E , Corbin KY 40701-6425. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Grace Community Health Center, Inc. can be contacted via phone (606) 526-9005, or through Stanley, Michael W. via phone (606) 526-9005.

Contact Information

Primary practice address
14662 N Us Highway 25E Corbin KY 40701-6425
Phone: (606) 526-9005
Fax: (606) 526-8606
Website:
Map and Directions
Authorized official contact:
Name: Stanley, Michael W.
Phone: (606) 526-9005

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Dental Providers / Dentist 122300000X Kentucky
Dental Providers / General Practice 1223G0001X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1568625648
LBN Legal business name Grace Community Health Center, Inc.
DBA Doing business as
Authorized official Stanley, Michael W.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2008
Last updated Jun 28th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568625648 NPPES
Kentucky MEDICAID 7100058700

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