GRACE COMMUNITY MEDICAL CENTER NPI 1548836927

NPI Information

NPI: 1548836927
Provider Name: GRACE COMMUNITY MEDICAL CENTER
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 10D2272803

Address:
3222 N 34TH ST
TAMPA, FL
ZIP 33605
Phone: (813) 930-5642
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GRACE COMMUNITY MEDICAL CENTER is a community health clinic center in Tampa, FL. GRACE COMMUNITY MEDICAL CENTER NPI is 1548836927. The provider is registered as an organization entity type.

The provider's business location address is:

3222 N 34TH ST
TAMPA, FL
ZIP 33605-227
Phone: (813) 930-5642
Fax: (813) 374-4979

The provider's authorized official is Grace Glenn .
The authorized official title is Executive Director and has the following contact phone number (813) 930-5642.

The CLIA number assigned to this NPI record is 10D2272803 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2021 and was last updated on 6/22/2021.

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
1	261QC1500X	Clinic/Center	Community Health			Yes

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

NPI Synchronization or Removal

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