| Grace Community Health Center, Inc. | |
|
1019 Cumberland Falls Hwy Ste D141 Corbin KY 40701-2796 | |
| (606) 528-5527 | |
| Not Available |
| Full Name | Grace Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1019 Cumberland Falls Hwy Ste D141, Corbin, Kentucky |
| Authorized Official Name and Position | Chad Stevens (CHIEF FINANCIAL OFFICER) |
| 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: (606) 526-9005 | Grace Community Health Center, Inc. 1019 Cumberland Falls Hwy Ste D141 Corbin KY 40701-2796 Ph: (606) 528-5527 |
| NPI Number | 1386139749 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3870654064 |
|---|---|
| Medicare Enrollment ID | O20150306000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386139749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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