| NPI | 1134798499 |
|---|---|
| Doing Business As | GRACE HEALTH UC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DESTINEE DAMRON Manager Of Payer Relations 606-526-9005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-06-28 |