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CHC09959-02 GRACE COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
GRACE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Grace Community Health Center, Inc. - Leslie County
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011546
340B ID
CHC09959-02
Grant Number
H80CS09959
Additional Details
Current Program Status
Terminated
Registration Date
8/21/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/11/2012
Last Recertification Date
2/8/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Michael Stanley, Chief Executive Officer
(606) 526-9005
Primary Contact
Rebecca Cheek, Clinical Pharmacist
(606) 526-9005
Addresses
Street Address
5923 Highway 80
Wooton, KY 41776-8840
Billing Address
Grace Community Health Center
1019 Cumberland Falls Hwy
Suite B201
Corbin, KY 40701-2735
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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