Grace Community Health Center INC

NPI #1235659806 in Corbin, Kentucky

Provider Information

NPI Number
1235659806
Entity Type
Organization
Organization Name
Grace Community Health Center INC
Subpart
Yes (part of a larger organization)
Parent Organization
GRACE COMMUNITY HEALTH CENTER INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 23, 2017
Last Updated
Jun 28, 2024

Practice Location

Address
1901 SYNDER STREET
City
Corbin
ZIP Code
40701-2735
Phone
(606) 528-3902

Authorized Official

Name
MICHAEL W. STANLEY
Title
CREDENTIALING
Phone
(606) 526-9005

Specialties & Taxonomy Codes

Specialty
Psychologist
Psychologist - ClinicalClinical
Nurse Practitioner - FamilyFamily
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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