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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