Active NPI
Grace Community Health Center Inc
- Federally Qualified Health Center (FQHC)
- Pineville, KY
National Provider Identifier
1376072298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 700188
- Legal business name
- GRACE COMMUNITY HEALTH CENTER INC
- Practice address
- 9824 US Highway 25 E
Pineville, KY 40977-8581 - Phone
- (606) 337-5506
- Fax
- (606) 526-8606
- NPI assigned
- Jun 5, 2017
- Organization subpart
- Yes
- Parent organization
- GRACE COMMUNITY HEALTH CENTER INC
Authorized official
NPPES NPI Registry- Name
- Michael W. Stanley
- Title
- C.E.O.
- Phone
- (606) 526-9005
National Provider Directory
National Provider Directory- Part of
- Grace Health Pharmacy-Manchester
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | 700188 | KY | Primary |
| Family Nurse Practitioner | 363LF0000X |
Addresses
NPPES NPI RegistryPrimary practice location
9824 US Highway 25 E
Pineville, KY 40977-8581
Mailing address
1019 Cumberland Falls Hwy
Suite B201
Corbin, KY 40701-2735
Phone (606) 526-9005
Other names 1
NPPES NPI Registry- Bell County High School Based Health Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2024.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1376072298",
"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": "606-526-9005",
"fax_number": "606-526-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9824 US HIGHWAY 25 E",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "409778581",
"telephone_number": "606-337-5506",
"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": "2017-06-05",
"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": "C.E.O.",
"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": "Bell County High School Based Health Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bell County High School Based Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pineville, 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.