| Grace Community Health Center, Inc. | |
|
14662 N Us Highway 25e Corbin KY 40701-6425 | |
| (606) 526-9005 | |
| (606) 526-8606 |
| Full Name | Grace Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14662 N Us Highway 25e, Corbin, Kentucky |
| Authorized Official Name and Position | Michael W. Stanley (CEO) |
| 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 Suite B201 Corbin KY 40701-2735 Ph: (606) 526-9005 | Grace Community Health Center, Inc. 14662 N Us Highway 25e Corbin KY 40701-6425 Ph: (606) 526-9005 |
| NPI Number | 1568625648 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/26/2024 |
| Medicare PECOS PAC ID | 3870654064 |
|---|---|
| Medicare Enrollment ID | O20081205000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568625648 | NPI | - | NPPES |
| 7100058700 | Medicaid | KY |
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