Grace Community Health Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

700188 Issued in KY

Legal business name

GRACE COMMUNITY HEALTH CENTER INC

Doing business as

Page School Based Health Clinic
Yellow Creek School Based Health Clinic

Practice address

239 Page School Rd
Pineville, KY 40977-8775

Phone

(606) 337-8330

Fax

(606) 526-8606

NPI assigned

Jun 13, 2017

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

GRACE COMMUNITY HEALTH CENTER INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael W. Stanley

Title

Credentialing

Phone

(606) 526-9005

Specialties & licenses 4

Addresses

Other names 2

• Page School Based Health Clinic Doing business as
• Yellow Creek School Based Health Clinic Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306376306. Details of each certification follow.

• CCN 181036 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181036

Legal name

PAGE SCHOOL BASED HEALTH CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 27, 2017

Last certification

Sep 27, 2017

Ownership / control type

For profit – corporation

Facility address

239 Page School Rd
Pineville, KY 40977

Part of

Grace Community Health Center

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1306376306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY",
            "address_2": "SUITE B201",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012735",
            "telephone_number": "606-545-4866",
            "fax_number": "606-545-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PAGE SCHOOL RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409778775",
            "telephone_number": "606-337-8330",
            "fax_number": "606-526-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "606-526-9005"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700188",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Page School Based Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yellow Creek School Based Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yellow Creek School Based Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Jean Gambrel, MD, MS
• Chadwick E Gambrell, DO
• Amanda Louanne Mills Gann, APRN
• Whitney Jeree Gann, APRN
• Alyson Gilbert
• Grace Community Health Center Inc (Bell County High School Based Health Clinic)
• Grace Community Health Center Inc (Bell Central School Based Health Clinic)
• Grace Community Health Center Inc (Pineville Independent School)
• Kathleen Greene
• Lisa Katheryn Gregory, D.C.

• Federally Qualified Health Center (FQHC) in Pineville, KY
• Providers in Pineville, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.