Grace Community Health Center INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Flat Lick, KY. Organization (NPI-2).
NPI number1629583232
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1629583232
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Community Health Center INC
- Organization subpart
- Yes
- Enumeration date
- Dec 5, 2017
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Flat Lick Elementary School Based Health Clinic (Doing Business As)
Practice location
110 Ky 3085Flat Lick, KY 40935-6461
Phone 606-543-4712
Mailing address
1019 Cumberland Falls Hwy Ste B201Corbin, KY 40701-2793
Phone 606-526-9005 · Fax 606-526-8606
Authorized official
Chad Stevens
Authorized Official
6065269005
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