NPIMap

Organization Active NPI

Grace Community Health Center Inc

Doing business as Paces Creek Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Manchester, KY
National Provider Identifier
1700213790
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
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
Paces Creek Elementary School Based Clinic
Practice address
1983 S Highway 421
Manchester, KY 40962-7514
Phone
(606) 598-6333
Fax
(606) 552-6860
NPI assigned
Oct 4, 2013
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GRACE COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 700188 KY Primary
Primary Care Clinic/Center 261QP2300X 700188 KY
Family Nurse Practitioner 363LF0000X 700188 KY

Addresses

Primary practice location

1983 S Highway 421
Manchester, KY 40962-7514

Mailing address

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

Other names 1

  • Paces Creek Elementary School Based Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grace Community Health Center Inc20 organizations share this tax ID, including this one
Part of
Grace Community Health Center Inc

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1983 S Highway 421
Manchester, KY 40962
Phone 60659611533208

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1700213790",
    "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": "1983 S HIGHWAY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627514",
            "telephone_number": "606-598-6333",
            "fax_number": "606-552-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2013-10-04",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700188",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "700188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "700188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paces Creek Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, 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.

Verify at the official NPI Registry.