Organization
GRACE COMMUNITY HEALTH CENTER INC
Active
Parent organization
GRACE COMMUNITY HEALTH CENTER INC
Other names
Grace Health SBHC Hayes Lewis Elementary
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE COMMUNITY HEALTH CENTER INC
Authorized official
MICHAEL W STANLEY (C.E.O.)
(606) 526-9005
Entity
Organization
Contact information
Practice address
10130 CUTSHIN CREEK RD., YEADDISS, KY 41777
(606) 279-3850
(606) 528-3871
Mailing address
1019 CUMBERLAND FALLS HWY STE B201, CORBIN, KY 40701-2793
(606) 526-9005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/24/2021
Last updated
06/28/2024
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