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CHC09959-52 Grace Community Health Center, Inc. (Terminated)
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Main Details
Name
Grace Community Health Center, Inc.
Subdivision Name
Grace Health Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029982
340B ID
CHC09959-52
Grant Number
H80CS09959
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/1/2023
Termination Date
Termination Reason
1/1/2024
Site closure
Contacts
Authorizing Official
Grace Community Health Center, Inc.
Michael W Stanley, Chief Executive Officer
(606) 526-9005
Primary Contact
Grace Health
David Casey Whittaker, Pharmacy Director
(606) 312-4145
Addresses
Street Address
120 North Commonwealth Avenue STE 1,2,3,&4
Corbin, KY 40701
Billing Address
Grace Community Health Center Inc.
1019 Cumberland Falls Hwy
Suite B201
Corbin, KY 40701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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