Organization
GRACE COMMUNITY HEALTH CENTER, INC.
Active
Other names
Corbin Middle School Based Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD STEVENS (CHIEF FINANCIAL OFFICER)
(606) 526-9005
Entity
Organization
Contact information
Practice address
50 ED MCNEEL DRIVE, CORBIN, KY 40701
(606) 523-3619
(606) 523-3621
Mailing address
1019 CUMBERLAND FALLS HWY STE B210, CORBIN, KY 40701-2793
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/12/2018
Last updated
06/28/2024
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