| Grace Community Health Center, Inc. | |
|
25 Eagle Lane Hyden KY 41749 | |
| (606) 672-2337 | |
| Not Available |
| Full Name | Grace Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 25 Eagle Lane, Hyden, Kentucky |
| Authorized Official Name and Position | Chad Stevens (AO) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Community Health Center, Inc. 1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 672-2337 | Grace Community Health Center, Inc. 25 Eagle Lane Hyden KY 41749 Ph: (606) 672-2337 |
| NPI Number | 1679133391 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 06/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679133391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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