Grace Community Health Center Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Hoskinston, KY

NPI 1346760865 · NPPES record last updated Jun 28, 2024

Key facts

NPI
1346760865
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
700188 (KY)
Legal business name
GRACE COMMUNITY HEALTH CENTER INC
Practice address
12975 Highway 421
Hoskinston, KY 40844-0000
Phone
(606) 374-3641
Fax
(606) 526-8606
NPI assigned
Jun 26, 2017
Organization subpart
Yes
Parent organization (as reported)
GRACE COMMUNITY HEALTH CENTER INC

Authorized official

Name
Michael W. Stanley
Title
C.E.O.
Phone
(606) 526-9005

National Provider Directory

Part of
Grace Health Pharmacy-Manchester

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X
Federally Qualified Health Center (FQHC) 261QF0400X 700188 KY Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X

Addresses

Primary practice location

12975 Highway 421
Hoskinston, KY 40844-0000

Mailing address

1019 Cumberland Falls Hwy
Suite B201
Corbin, KY 40701-2735
Phone (606) 526-9005

Other names

  • Stinnett Elementary School Based Health Clinic Doing business as

Sources for this page

Verify at the official NPI Registry.