Active NPI
Grace Community Health Center Inc
- Federally Qualified Health Center (FQHC)
- Barbourville, KY
National Provider Identifier
1104331719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- GRACE COMMUNITY HEALTH CENTER INC
- Practice address
- 1000 Ky 3439
Barbourville, KY 40906-7200 - Phone
- (606) 546-3496
- NPI assigned
- Dec 5, 2017
- Organization subpart
- Yes
- Parent organization
- GRACE COMMUNITY HEALTH CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Stevens
- Title
- Authorized Official
- Phone
- (606) 526-9005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1000 Ky 3439
Barbourville, KY 40906-7200
Mailing address
1019 Cumberland Falls Hwy Ste B201
Corbin, KY 40701-2793
Phone (606) 526-9005
Other names 1
- Central Elementary School Based Health Clinic
National Provider Directory
National Provider Directory- Part of
- Grace Health Pharmacy-Manchester
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Corbin, KY
- NPI 1023359320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1104331719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 CUMBERLAND FALLS HWY STE B201",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012793",
"telephone_number": "606-526-9005",
"fax_number": "606-526-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 KY 3439",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067200",
"telephone_number": "606-546-3496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE COMMUNITY HEALTH CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GRACE COMMUNITY HEALTH CENTER INC",
"enumeration_date": "2017-12-05",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "606-526-9005"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Elementary School Based Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.