GRACE COMMUNITY HEALTH CENTER INC (NPI# 1275061269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275061269 |
| Entity Type | Organization |
| Organization Name | GRACE COMMUNITY HEALTH CENTER INC |
| Other Organization Name | MANCHESTER ELEMENTARY SCHOOL BASED HEALTH |
| Practice Address |
1908 N. Highway 421 Manchester Manchester KY 40962-7337 |
| Mailing Address |
1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 |
| Practice Telephone | 6065961162 |
| Practice Fax Number | 6065268606 |
| Mailing Telephone | 6065269005 |
| Mailing Fax Number | 6065268606 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |
| Authorized Official Name | MICHAEL W. STANLEY (C.E.O.) |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Manchester Elementary School Based Health | Doing Business As Name - Organization |
| 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 |
1908 N. HIGHWAY 421 MANCHESTER |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-7337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154984714 | Catholic Medical Center | Clinic/Center | 293 Wilson St Ste 102, Manchester, NH 03103-5021 | 2019-04-19 |
| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
| 1548464951 | Great Lakes Bay Health Centers | Clinic/Center | 4800 Esch Road, Manchester Migrant Camp, Manchester, MI 48158 | 2007-06-12 |
| 1942215819 | Catholic Medical Center | Clinic/Center | 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 | 2006-07-29 |
| 1083617013 | Amoskeag Health | Clinic/Center | 145 Hollis St, Manchester, NH 03101-1325 | 2005-05-23 |
| 1861048969 | Amoskeag Health | Clinic/Center | 1555 Elm St, Manchester, NH 03101-1203 | 2019-08-14 |
| 1487022992 | Amoskeag Health | Clinic/Center | 88 Mcgregor St, Manchester, NH 03102-3750 | 2015-09-14 |
| 1962884395 | First Choice Health Centers, Inc. | Clinic/Center | 444 Center St, 3rd Floor, Manchester, CT 06040-3926 | 2015-06-22 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on GRACE COMMUNITY HEALTH CENTER INC.
| 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.