Organization · Type 2 NPI
Grace Community Health Center Inc
Federally Qualified Health Center (FQHC) · Manchester, KY
NPI number
1174950075
Active
Practice location
364 Highway 1524
Manchester, KY 40962-8936
Fax (606) 526-8606
Mailing address
1019 Cumberland Falls Hwy, Suite B201
Corbin, KY 40701-2735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 700188 (KY) |
| Primary Care Clinic/Center | 261QP2300X | 700188 (KY) |
| Family Nurse Practitioner | 363LF0000X | 700188 (KY) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1174950075
Grace Community Health Center Inc's National Provider Identifier is 1174950075, issued on Oct 9, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manchester, KY. The record was last updated on Jun 28, 2024.