Grace Community Health Center, Inc.

NPI 1073940060 - Clinic/Center - 261QP2300X

NPI Details
NPI 1073940060
Enumeration Date 10/04/2013
Last Updated 10/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL W. MICHAEL
Position CREDENTIALING
Phone (606) 598-3338
Fax
Practice Location
84 HOOKER RD
MANCHESTER KY, 40962-8202, US
Phone (606) 598-3338
Fax
Business Location
PO BOX 570
GRAY KY, 40734-0570, US
Phone (606) 526-9005
Fax (606) 526-8606
Toxanomy
Taxonomy Code 261QP2300X
License State Kentucky
License Number 700188
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According to our database, Grace Community Health Center, Inc. NPI is 1073940060, taxonomy code is 261QP2300X and license number is 700188, license state is located at Kentucky. Grace Community Health Center, Inc. physically located at 84 Hooker Rd, Manchester KY, 40962-8202. NPI Number 1033115704 has the healthcare provider type.

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1073940060 NPI number is provided on an as is basis without warranty of any kind. 1073940060 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Community Health Center, Inc. are for informational purposes only.