Grace Community Health Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GRACE COMMUNITY HEALTH CENTER INC

Doing business as

Oneida Elementary School Based Health Clinic

Practice address

435 Newfound Rd
Oneida, KY 40972-6004

Phone

(606) 596-1163

Fax

(606) 526-8606

NPI assigned

May 23, 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

C.E.O.

Phone

(606) 526-9005

Specialties & licenses 2

Addresses

Other names 1

• Oneida Elementary 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 1508394487. Details of each certification follow.

• CCN 181167 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181167

Legal name

ONEIDA ELEMENTARY SCHOOL BASED HEALTH CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 26, 2017

Last certification

Jul 26, 2017

Ownership / control type

For profit – partnership

Facility address

435 Newfound Road
Oneida, KY 40972

Part of

Grace Community Health Center Inc

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1508394487",
    "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": "435 NEWFOUND RD",
            "city": "ONEIDA",
            "state": "KY",
            "postal_code": "409726004",
            "telephone_number": "606-596-1163",
            "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": "2017-05-23",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oneida Elementary School Based Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oneida Elementary School Based Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Ray Combs, RN
• Grace Community Health Center Inc (Big Creek Elementary School Based Clinic)
• Memorial Hospital, Inc. (AdventHealth Oneida Clinic)
• Noah Scott Reid, APRN
• Ginger M Smith, APRN
• Still Waters Recovery

• Federally Qualified Health Center (FQHC) in Oneida, KY
• Providers in Oneida, 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.