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Organization

GRACE COMMUNITY HEALTH CENTER INC

Active
Parent organization
GRACE COMMUNITY HEALTH CENTER INC
Other names
Big Creek 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
523 N HIGHWAY 66, ONEIDA, KY 40972-6607
(606) 598-2812
(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)
700188
KY
261QP2300X
Primary Care Clinic/Center
Primary
700188
KY
363LF0000X
Family Nurse Practitioner
KY

Other

Enumeration date
10/05/2013
Last updated
06/28/2024
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