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Grace Community Health Center Inc
Family Nurse Practitioner in Manchester, Kentucky
NPI 1700213790

Grace Community Health Center Inc is a Family Nurse Practitioner based in Corbin, KY and is specialized in Family. Grace Community Health Center Inc practices in Manchester, KY. The NPI Number for Grace Community Health Center Inc is 1700213790 and holds a License No. 700188 (Kentucky).

The current practice location address for Grace Community Health Center Inc is 1983 S Highway 421, Manchester, KY and can be reached out via phone at 606-598-6333 and via fax at 606-552-6860.

Location: 1983 S Highway 421, Manchester, KY, 40701-2735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700213790
Provider Name
Grace Community Health Center Inc
Credential
Provider Entity Type
Organization
Address
1983 S Highway 421, Manchester, KY, 40701-2735
Phone Number
606-598-6333
Fax Number
606-552-6860
Provider Enumeration Date
10/04/2013
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1983 S Highway 421
City
Manchester
State
Kentucky
Zip
40962-7514
Phone Number
606-598-6333
Fax Number
606-552-6860
person
Provider Business Mailing Address Details
Address
1983 S Highway 421
City
Manchester
State
Kentucky
Zip
40962-7514
Phone Number
606-598-6333
Fax Number
606-552-6860
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
700188 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
700188 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
700188 (Kentucky)
Definition
Definition to come...
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