Goose Rock Elementary School Based Clinic – Federally Qualified Health Center (FQHC), NPI 1174950075

Goose Rock Elementary School Based Clinic is a healthcare provider. based in Corbin, Kentucky. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 700188 (KY). The NPI Number for Goose Rock Elementary School Based Clinic is 1174950075

Main info

Organization
Name
Goose Rock Elementary School Based Clinic
NPI
1174950075
Phone
(606) 526-9005
Address
1019 CUMBERLAND FALLS HWY
Authorized Official
MICHAEL W. STANLEY C.E.O.
Enumeration Date
9 October 2013
Last Update Date
28 June 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:12State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Goose Rock Elementary School Based Clinic

  • 1019 CUMBERLAND FALLS HWY

    SUITE B201

    CORBIN, KY 407012735

    Phone: (606) 526-9005

    Fax: (606) 526-8606

    Type: Mailing

  • 364 HIGHWAY 1524

    MANCHESTER, KY 409628936

    Phone: (606) 598-3740

    Fax: (606) 526-8606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40701)

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Reviews

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Frequently asked questions

What unique ID ties claims to Goose Rock Elementary School Based Clinic?
NPI 1174950075 is assigned to Goose Rock Elementary School Based Clinic under the national enumeration system.
Is Goose Rock Elementary School Based Clinic's NPI currently valid?
The extract we use shows Goose Rock Elementary School Based Clinic as active.
Does Goose Rock Elementary School Based Clinic list a primary specialty?
If you are matching referrals, note Federally Qualified Health Center (FQHC) for Goose Rock Elementary School Based Clinic. Clinical services aligned with this taxonomy classification.
Where does public data place Goose Rock Elementary School Based Clinic?
The snapshot lists Corbin, Kentucky for Goose Rock Elementary School Based Clinic; download NPPES for the complete set.
What if Corbin, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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