# GRACE COMMUNITY HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRACE COMMUNITY HEALTH CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174056261
- **Legal business name:** GRACE COMMUNITY HEALTH CENTER INC
- **Authorized official:** MICHAEL W STANLEY (CEO)
- **Authorized official phone:** (606) 526-9005

## Contact information

- **Practice address:** 121 BISHOP ST, CORBIN, KY 40701-1702
- **Practice address phone:** (606) 528-2124
- **Practice address fax:** (606) 528-8272
- **Mailing address:** 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY 40701-2735
- **Mailing address phone:** (606) 526-9005
- **Mailing address fax:** (606) 526-8606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/06/2017
- **Last updated:** 06/28/2024