Organization
GRACE COMMUNITY HEALTH CENTER INC
Active
Parent organization
GRACE COMMUNITY HEALTH CENTER INC
Other names
Goose Rock Elementary School Based Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE COMMUNITY HEALTH CENTER INC
Authorized official
MICHAEL W. STANLEY (C.E.O.)
(606) 526-9005
Entity
Organization
Contact information
Practice address
364 HIGHWAY 1524, MANCHESTER, KY 40962-8936
(606) 598-3740
(606) 526-8606
Mailing address
1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY 40701-2735
(606) 526-9005
(606) 526-8606
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700188
KY
261QP2300X
Primary Care Clinic/Center
700188
KY
363LF0000X
Family Nurse Practitioner
700188
KY
Other
Enumeration date
10/09/2013
Last updated
06/28/2024
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