CORBIN HIGH SCHOOL BASED HEALTH CLINIC
NPI 1235659806
Clinic/Center - Federally Qualified Health Center (FQHC) in Corbin, KY

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

The NPI number for Grace Community Health Center Inc is 1235659806. It was assigned to this organization in the NPPES registry on June 23, 2017. The provider is doing business as Corbin High School Based Health Clinic.

Q: 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.

Active since June 23, 2017CLIA 18D1087809 · Certificate of Compliance

1901 SYNDER STREET, CORBIN, KY 40701(606) 528-3902(606) 526-8606 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 28, 2024, Jun 23, 2017 (2 updates tracked since 2017).

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About Corbin High School Based Health Clinic NPPES

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

CORBIN HIGH SCHOOL BASED HEALTH CLINIC (NPI 1235659806) is a healthcare organization registered as a federally qualified health center (fqhc) in Corbin, Kentucky and active in the NPI registry since June 2017. The organization holds a CLIA Certificate of Compliance certificate valid through February 27, 2027 and lists Michael W. Stanley, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1235659806

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGRACE COMMUNITY HEALTH CENTER INC

Location Address1901 SYNDER STREETCorbin, KY 40701-2735

Mailing Address1019 Cumberland Falls Hwy, Suite B201Corbin, KY 40701-2735 · (606) 526-9005 · Fax (606) 526-8606

Phone(606) 528-3902

Fax(606) 526-8606

Organization SubpartYes

Authorized OfficialMichael W. StanleyCredentialing · (606) 526-9005

Enumeration DateJune 23, 2017

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1235659806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in KY · 700188

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1901 SYNDER STREET, Corbin, KY 40701

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Other Names 1

Doing Business AsCorbin High School Based Health Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D1087809

Grace Community Health Center, Inc D/B/A Grace Health Medical · Corbin, KY

Active · expires Feb 27, 2027

CLIA Number18D1087809

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. Goutham Hebbalmath

Laboratory Phone(606) 526-9005

Laboratory LocationGrace Community Health Center, Inc D/B/A Grace Health Medical14662 N Us Highway 25E N, Corbin, KY 40701

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1235659806. It was assigned to this organization in the NPPES registry on June 23, 2017. The provider is doing business as Corbin High School Based Health Clinic.

Where is Grace Community Health Center Inc located?

Grace Community Health Center Inc is located at 1901 Synder Street, Corbin, KY 40701. The listed phone number is (606) 528-3902.

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.

Does Grace Community Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D1087809) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.