Grace Community Health Center INC

NPI #1629508296 in Corbin, Kentucky

Provider Information

NPI Number: 1629508296
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: Internal Medicine
Enumeration Date: Jun 15, 2017
Last Updated: Jun 28, 2024

Practice Location

Address: 1419 CUMBERLAND FALLS HIGHWAY
City: Corbin
State: Kentucky
ZIP Code: 40740-2722
Phone: (606) 528-4481

Authorized Official

Name: MICHAEL W. STANLEY
Title: C.E.O.
Phone: (606) 526-9005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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