| Grace Community Health Center, Inc. | |
|
272 London Mountain View Dr London KY 40741-6601 | |
| (606) 877-2850 | |
| (606) 877-2857 |
| Full Name | Grace Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 272 London Mountain View Dr, London, Kentucky |
| Authorized Official Name and Position | Chad Stevens (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Community Health Center, Inc. 1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: () - | Grace Community Health Center, Inc. 272 London Mountain View Dr London KY 40741-6601 Ph: (606) 877-2850 |
| NPI Number | 1548818537 |
|---|---|
| Provider Enumeration Date | 09/03/2019 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3870654064 |
|---|---|
| Medicare Enrollment ID | O20200108002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548818537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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