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Contact Information

GRACE COMMUNITY HEALTH CENTER, INC.
5923 HIGHWAY 80
WOOTON, KY41776-8840
 Phone: 606-526-9005
 Fax: 606-526-8606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for GRACE COMMUNITY HEALTH CENTER, INC.

NPI # 1235486531
LBN Legal business name GRACE COMMUNITY HEALTH CENTER, INC.
Authorized official MICHAEL STANLEY - (C.E.O.)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2012
Last updated 06/28/2024 - More than a year ago
Identifiers
KY License # 700188
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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