Organization
GRACE COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
GRACE COMMUNITY HEALTH CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE COMMUNITY HEALTH CENTER INC
Authorized official
MICHAEL W. STANLEY (CEO)
(606) 526-9005
Entity
Organization
Contact information
Practice address
85 HIGHWAY 80, MANCHESTER, KY 40962-8801
(606) 596-0410
(606) 596-0416
Mailing address
1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY 40734-4536
(606) 526-9005
(606) 526-8606
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700188
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/31/2009
Last updated
06/28/2024
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