| Grace Health Uc Clinic | |
|
49 W Sycamore St Williamsburg KY 40769-1739 | |
| (606) 400-6362 | |
| (606) 526-8607 |
| Full Name | Grace Health Uc Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 49 W Sycamore St, Williamsburg, Kentucky |
| Authorized Official Name and Position | Destinee Damron (MANAGER OF PAYER RELATIONS) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Health Uc Clinic 1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 526-9005 | Grace Health Uc Clinic 49 W Sycamore St Williamsburg KY 40769-1739 Ph: (606) 400-6362 |
| NPI Number | 1134798499 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3870654064 |
|---|---|
| Medicare Enrollment ID | O20210701001452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134798499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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