GOOSE ROCK ELEMENTARY SCHOOL BASED CLINIC
NPI 1174950075
Clinic/Center - Federally Qualified Health Center (FQHC) in Manchester, KY

Active since October 09, 2013
364 HIGHWAY 1524, MANCHESTER, KY 40962(606) 598-3740(606) 526-8606 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2024, Nov 8, 2016 (2 updates tracked since 2016).

About Goose Rock Elementary School Based Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOSE ROCK ELEMENTARY SCHOOL BASED CLINIC (NPI 1174950075) is a healthcare organization registered as a federally qualified health center (fqhc) in Manchester, Kentucky and active in the NPI registry since October 2013. The organization lists Michael W. Stanley, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1174950075
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGRACE COMMUNITY HEALTH CENTER INC
Location Address364 HIGHWAY 1524Manchester, KY 40962-8936
Mailing Address1019 Cumberland Falls Hwy, Suite B201Corbin, KY 40701-2735 · (606) 526-9005 · Fax (606) 526-8606
Fax(606) 526-8606
Organization SubpartYes
Authorized OfficialMichael W. StanleyC.e.o. · (606) 526-9005
Enumeration DateOctober 9, 2013
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1174950075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in KY · 700188
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 700188 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 700188 (KY)
364 HIGHWAY 1524, Manchester, KY 40962

Other Names 1

Doing Business AsGoose Rock Elementary School Based Clinic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Community Health Center Inc's NPI number?

The NPI number for Grace Community Health Center Inc is 1174950075. It was assigned to this organization in the NPPES registry on October 9, 2013. The provider is doing business as Goose Rock Elementary School Based Clinic.

Where is Grace Community Health Center Inc located?

Grace Community Health Center Inc is located at 364 Highway 1524, Manchester, KY 40962. The listed phone number is (606) 598-3740.

What is Grace Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Grace Community Health Center Inc was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.