GRACE COMMUNITY HEALTH CENTER INC (NPI# 1174056261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174056261 |
| Entity Type | Organization |
| Organization Name | GRACE COMMUNITY HEALTH CENTER INC |
| Practice Address |
121 Bishop St Corbin KY 40701-1702 |
| Mailing Address |
1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 |
| Practice Telephone | 6065282124 |
| Practice Fax Number | 6065288272 |
| Mailing Telephone | 6065269005 |
| Mailing Fax Number | 6065268606 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MICHAEL W STANLEY (CEO) |
| Authorized Official Telephone | 6065269005 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRACE COMMUNITY HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407493075 | Grace Community Health Center Inc | Pharmacy | 272 London Mountain View Dr Ste 2, London, KY 40741-6601 | 2019-12-03 |
| 1346755816 | Grace Community Health Center Inc | Clinic/Center | 138 Ky 718, Flat Lick, KY 40935 | 2017-12-06 |
| 1093220543 | Grace Community Health Center Inc | Clinic/Center | 60 Ky 3441, Barbourville, KY 40906-8095 | 2017-12-06 |
| 1023523586 | Grace Community Health Center Inc | Clinic/Center | 210 Wall St, Barbourville, KY 40906-1450 | 2017-12-06 |
| 1316452873 | Grace Community Health Center Inc | Clinic/Center | 100 N Ky 830, Corbin, KY 40701-6132 | 2017-12-06 |
| 1174038624 | Grace Community Health Center Inc | Clinic/Center | 366 N Ky 830, Corbin, KY 40701-6132 | 2017-12-06 |
| 1407361967 | Grace Community Health Center Inc | Clinic/Center | 5452 N Ky 11, Girdler, KY 40943 | 2017-12-06 |
| 1235644790 | Grace Community Health Center Inc | Clinic/Center | 100 Panther Way, Barbourville, KY 40906-8038 | 2017-12-06 |
| 1366957813 | Grace Community Health Center Inc | Clinic/Center | 220 N Allison Ave, Barbourville, KY 40906-1337 | 2017-12-06 |
| 1629583232 | Grace Community Health Center Inc | Clinic/Center | 110 Ky 3085, Flat Lick, KY 40935-6461 | 2017-12-05 |
| Street Address |
121 BISHOP ST |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597383 | James D Norvell | Pharmacist | 121 Bishop St, Suite 1, Corbin, KY 40701-1702 | 2005-08-31 |
| 1356964688 | Farris Mackenzie Strong | Pharmacist | 121 Bishop St, Corbin, KY 40701-1702 | 2020-05-21 |
| 1912567066 | Vivian Renee Hill | Nurse Practitioner | 121 Bishop St, Corbin, KY 40701-1702 | 2019-06-19 |
| 1487165015 | Wendy Dawn Brown | Nurse Practitioner | 121 Bishop St, Corbin, KY 40701-1702 | 2017-10-23 |
| 1073032074 | Grace Community Health Center Inc | Pharmacy | 121 Bishop St, Corbin, KY 40701-1702 | 2017-09-12 |
| 1760909402 | Grace Community Health Center Inc | Pharmacy | 121 Bishop St, Corbin, KY 40701-1702 | 2017-08-24 |
| 1801320403 | Grace Community Health Center Inc | Psychologist | 121 Bishop St, Corbin, KY 40701-1702 | 2017-04-20 |
| 1144622523 | Theresa Gross | Nurse Practitioner | 121 Bishop St, Corbin, KY 40701-1702 | 2014-09-17 |
| 1962810366 | Roger Butler II | Physician Assistant | 121 Bishop St, Corbin, KY 40701-1702 | 2014-07-29 |
| 1639583701 | David Casey Whittaker | Pharmacist | 121 Bishop St, Corbin, KY 40701-1702 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1851664353 | Family First Family Health Center | Family Medicine | 141 E. Cumberland Gap Pkwy., Corbin, KY 40702 | 2012-02-14 |
| 1447405865 | Family Health Care Associates Rural Clinic of Corbin Pllc | Family Medicine | 2886 Uk Ky Hwy 1629, Suite 3, Corbin, KY 40701-2739 | 2008-11-26 |
| 1659494748 | May Pain Institute Ltd | Family Medicine | 14 Moonbow Plaza, Suite 2, Corbin, KY 40701-8949 | 2007-04-06 |
| 1396825147 | Nikhil Sharad Parulekar | Family Medicine | 141 East Cumberland Gap Pkwy., Corbin, KY 40701 | 2006-10-16 |
| 1982716072 | Richard F. Park, M.d.psc | Family Medicine | 1708 Forest Dr, Corbin, KY 40701-2327 | 2006-08-31 |
| 1891761045 | Christopher Todd Stokes Sr. | Family Medicine | 706 Maynor St, Corbin, KY 40701-1777 | 2006-02-27 |
| 1396717997 | Shawn P Hudson | Family Medicine | 50 South Park, Suite 3, Corbin, KY 40701 | 2006-02-07 |
| 1174500482 | Bruce R Jung | Family Medicine | 46 Marisa Ct, Corbin, KY 40701-8935 | 2005-12-28 |
| Find all providers in CORBIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.