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GRACE & MERCY HEALTH CLINIC INC. NPI 1457482333


NPI Information

NPI: 1457482333
Provider Name: GRACE & MERCY HEALTH CLINIC INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0895936

Address:
100 SE 4TH STREET
BOX 33
KERENS, TX
ZIP 75144
Phone: (903) 396-7217
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GRACE & MERCY HEALTH CLINIC INC. is a family medicine in Kerens, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRACE & MERCY HEALTH CLINIC INC. NPI is 1457482333. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 SE 4TH STREET
BOX 33
KERENS, TX
ZIP 75144-008
Phone: (903) 396-7217
Fax: (903) 396-7258

The provider's authorized official is Muriel Patricia Cyrus .
The authorized official title is Physician and has the following contact phone number (903) 396-7217.

The CLIA number assigned to this NPI record is 45D0895936 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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