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Organization

GRACE COMMUNITY HEALTH CENTER, INC.

Active
Parent organization
GRACE COMMUNITY HEALTH CENTER, INC.
Other names
Grace Health Pediatrics
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
120 N COMMONWEALTH AVE STE 123&4, CORBIN, KY 40701-6472
(606) 526-8603
(606) 526-8607
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
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/19/2019
Last updated
06/28/2024
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