Organization
GRACE COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD STEVENS (CFO)
(606) 526-9005
Entity
Organization
Contact information
Practice address
14662 N US HIGHWAY 25E, CORBIN, KY 40701-6425
(606) 526-9005
(606) 526-8606
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
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
122300000X
Dentist
—
KY
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100058700
—
KY
Enumeration date
07/08/2008
Last updated
10/07/2025
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