GRACE COMMUNITY HEALTH CENTER INC (NPI# 1306376306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306376306 |
| Entity Type | Organization |
| Organization Name | GRACE COMMUNITY HEALTH CENTER INC |
| Other Organization Name | PAGE SCHOOL BASED HEALTH CLINIC |
| Practice Address |
239 Page School Rd Pineville KY 40977-8775 |
| Mailing Address |
1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 |
| Practice Telephone | 6063378330 |
| Practice Fax Number | 6065268606 |
| Mailing Telephone | 6065454866 |
| Mailing Fax Number | 6065454863 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MICHAEL W. STANLEY (CREDENTIALING) |
| 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 | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
700188 | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Page School Based Health Clinic | Doing Business As Name - Organization |
| Yellow Creek School Based Health Clinic | 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 |
239 PAGE SCHOOL RD |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-8775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1619597143 | Winn Community Health Center, Inc. | Clinic/Center | 3655 Trinity Church Rd, Pineville, LA 71360-5406 | 2020-04-24 |
| 1609358159 | Mountain Comprehensive Health Corporation | Clinic/Center | 401 W Virginia Ave Ste A, Pineville, KY 40977-1321 | 2018-08-31 |
| 1639658156 | Tug River Health Association, Inc. | Clinic/Center | 585 Appalachian Highway, Pineville, WV 24874-2487 | 2018-08-07 |
| 1033364765 | Tug River Health Association | Clinic/Center | Us Route 10, Pineville, WV 24874-0430 | 2008-11-21 |
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| 1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
| 1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
| 1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
| 1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
| 1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
| 1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
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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.