Organization
GRACE COMMUNITY HEALTH CENTER, INC.
Active
Other names
Grace SBHC Middlesboro High School
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD STEVENS (AUTHORIZED OFFICIAL)
(606) 526-9005
Entity
Organization
Contact information
Practice address
4404 W CUMBERLAND AVE, MIDDLESBORO, KY 40965-2626
(606) 242-8820
(606) 242-8825
Mailing address
1019 CUMBERLAND FALLS HWY STE B201, CORBIN, KY 40701-2793
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
06/28/2024
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