Corbin Primary School Based Health Clinic

LBN: Grace Community Health Center Inc
Corbin Primary School Based Health Clinic is an health care organization with primary practice located at 3551 5Th Street Rd , Corbin KY 40701-9650. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. 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) 595-8631, or through Stanley, Michael W. via phone (606) 526-9005.

Contact Information

Primary practice address
3551 5Th Street Rd Corbin KY 40701-9650
Phone: (606) 595-8631
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
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 700188 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1730609496
LBN Legal business name Grace Community Health Center Inc
DBA Doing business as Corbin Primary School Based Health Clinic
Authorized official Stanley, Michael W.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 23rd, 2017
Last updated Jun 28th, 2024 - about 5 months ago

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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