Organization · Type 2 NPI
Grace Community Health Center Inc
Federally Qualified Health Center (FQHC) · Corbin, KY
NPI number
1912427675
Active
Practice location
404 W. 17th Street
Corbin, KY 40701-1922
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 | 700188 (KY) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1912427675
Grace Community Health Center Inc's National Provider Identifier is 1912427675, issued on Jun 23, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Corbin, KY. The record was last updated on Jun 28, 2024.