GRACE COMMUNITY HEALTH CENTER, INC. (NPI# 1811533433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811533433 |
Entity Type | Organization |
Organization Name | GRACE COMMUNITY HEALTH CENTER, INC. |
Practice Address |
120 N Commonwealth Ave Ste 123&4 Corbin KY 40701-6472 |
Mailing Address |
1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 |
Practice Telephone | 6065268603 |
Practice Fax Number | 6065268607 |
Mailing Telephone | 6065269005 |
Mailing Fax Number | 6065268606 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Authorized Official Name | CHAD STEVENS (AUTHORIZED OFFICIAL) |
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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Grace Health Pediatrics | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265078885 | Grace Community Health Center, Inc. | Clinic/Center | 4400 W Cumberland Ave, Middlesboro, KY 40965-2626 | 2019-11-19 |
1356987978 | Grace Community Health Center, Inc. | Clinic/Center | 4404 W Cumberland Ave, Middlesboro, KY 40965-2626 | 2019-11-19 |
1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
1235486531 | Grace Community Health Center, Inc. | Family Medicine | 5923 Highway 80, Wooton, KY 41776-8840 | 2012-08-07 |
1447896063 | Grace Community Health Center, Inc. | Clinic/Center | 3400 Cumberland Ave, Middlesboro, KY 40965-2610 | 2019-11-19 |
1548818537 | Grace Community Health Center, Inc. | Clinic/Center | 272 London Mountain View Dr, London, KY 40741-6601 | 2019-09-03 |
1679133391 | Grace Community Health Center, Inc. | Clinic/Center | 25 Eagle Lane, Hyden, KY 41749 | 2019-06-14 |
1386139749 | Grace Community Health Center, Inc. | Clinic/Center | 1019 Cumberland Falls Hwy Ste D141, Corbin, KY 40701-2796 | 2018-06-28 |
1902048481 | Grace Community Health Center, Inc. | Psychologist | 85 Highway 80, Manchester, KY 40962-8801 | 2009-03-31 |
1568625648 | Grace Community Health Center, Inc. | Clinic/Center | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2008-07-08 |
Street Address |
120 N COMMONWEALTH AVE STE 123&4 |
City | CORBIN |
State | KY |
Zip Code | 40701-6472 |
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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1386139749 | Grace Community Health Center, Inc. | Clinic/Center | 1019 Cumberland Falls Hwy Ste D141, Corbin, KY 40701-2796 | 2018-06-28 |
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1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
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.