Organization · Type 2 NPI

Grace Community Health Center Inc

Federally Qualified Health Center (FQHC) · Middlesboro, KY

NPI number 1083143994 Active

Practice location

4840 W. Cumberland Avenue
Middlesboro, KY 40965-9078

Call (606) 248-1293 Map

Fax (606) 526-8606

Mailing address

1019 Cumberland Falls Hwy, Suite B201
Corbin, KY 40701-2735

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Clinical Psychologist	103TC0700X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	700188 (KY)
Family Nurse Practitioner	363LF0000X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Middlesboro

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Grace Community Health Center, Inc.Federally Qualified Health Center (FQHC) Middlesboro, KY NPI 1356987978
Grace Community Health Center, Inc.Federally Qualified Health Center (FQHC) Middlesboro, KY NPI 1447896063

See all in Middlesboro →

NPI record

NPI: 1083143994
Entity type: Organization (Type 2)
Issued: Jun 6, 2017
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Grace Community Health Center Inc

Other names

<unavail>
Yellow Creek School Based Health Clinic · doing business as
Yellow Creek School Based Health Clinic · doing business as

Authorized official

Michael W. Stanley
C.e.o.
(606) 526-9005

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083143994

Grace Community Health Center Inc's National Provider Identifier is 1083143994, issued on Jun 6, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Middlesboro, KY. The record was last updated on Jun 28, 2024.