Grace Community Health Center Inc

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

NPI 1629583232 · NPPES record last updated Jun 28, 2024

Key facts

NPI
1629583232
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
GRACE COMMUNITY HEALTH CENTER INC
Practice address
110 Ky 3085
Flat Lick, KY 40935-6461
Phone
(606) 543-4712
NPI assigned
Dec 5, 2017
Organization subpart
Yes
Parent organization (as reported)
GRACE COMMUNITY HEALTH CENTER INC

Authorized official

Name
Chad Stevens
Title
Authorized Official
Phone
(606) 526-9005

National Provider Directory

Part of
Grace Health Pharmacy-Manchester

Locations

110 Ky 3085
Flat Lick, KY 40935
Phone (606) 542-4169

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

110 Ky 3085
Flat Lick, KY 40935-6461

Mailing address

1019 Cumberland Falls Hwy Ste B201
Corbin, KY 40701-2793
Phone (606) 526-9005

Other names

  • Flat Lick Elementary School Based Health Clinic Doing business as

Other providers in Flat Lick, KY

All providers in Flat Lick, KY · Federally Qualified Health Center (FQHC) in Kentucky

Sources for this page

Verify at the official NPI Registry.