Organization
GRACE COMMUNITY HEALTH CENTER INC
Active
Parent organization
GRACE COMMUNITY HEALTH CENTER INC
Other names
Lynn Camp Middle/High School Based Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE COMMUNITY HEALTH CENTER INC
Authorized official
CHAD STEVENS (AUTHORIZED OFFICIAL)
(606) 526-9005
Entity
Organization
Contact information
Practice address
100 N KY 830, CORBIN, KY 40701-6132
(606) 528-5429
Mailing address
1019 CUMBERLAND FALLS HWY STE B201, CORBIN, KY 40701-2793
(606) 526-9005
(606) 526-8606
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
06/28/2024
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