Grace Community Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GRACE COMMUNITY HEALTH CENTER, INC.

Practice address

120 N Commonwealth Ave Ste 123&4
Corbin, KY 40701-6472

Phone

(606) 526-8603

Fax

(606) 526-8607

NPI assigned

Nov 19, 2019

Organization subpart

Yes

Parent organization

GRACE COMMUNITY HEALTH CENTER, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chad Stevens

Title

Authorized Official

Phone

(606) 526-9005

Specialties & licenses 2

Addresses

Other names 1

• Grace Health Pediatrics Other name

Part of

Grace Health Pharmacy-Manchester

Locations

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1811533433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY STE B201",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012793",
            "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": "120 N COMMONWEALTH AVE STE 123&4",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016472",
            "telephone_number": "606-526-8603",
            "fax_number": "606-526-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2019-11-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "606-526-9005"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Health Pediatrics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grace Health Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grace Community Health Center Inc
• Grace Community Health Center, Inc.
• Grace Community Health Center, Inc.
• Grace Community Health Center, Inc.
• Grace Community Health Center, Inc.
• Aimee Russell Grace, DO
• Nancy B Graham, MD
• Kasi Nicole Grande, BA
• Stephanie Hope Graves
• Adrian Denise Gray, FNP-BC

• All providers in Corbin, KY
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.