GRACE COMMUNITY HEALTH CENTER INC NPI 1700213790

NPI Information

NPI: 1700213790
Provider Name: GRACE COMMUNITY HEALTH CENTER INC

Doing Business As: PACES CREEK ELEMENTARY SCHOOL BASED CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1983 S HIGHWAY 421
MANCHESTER, KY
ZIP 40962
Phone: (606) 598-6333
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GRACE COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Manchester, KY. GRACE COMMUNITY HEALTH CENTER INC NPI is 1700213790. The provider is registered as an organization entity type.
The provider Is Doing Business As Paces Creek Elementary School Based Clinic.

The provider's business location address is:

1983 S HIGHWAY 421
MANCHESTER, KY
ZIP 40962-514
Phone: (606) 598-6333
Fax: (606) 552-6860

The provider's authorized official is Michael W. Stanley .
The authorized official title is Credentialing and has the following contact phone number (606) 526-9005.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 11/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	700188	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	700188	KENTUCKY	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	700188	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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