Grace Community Healthcare Ministry
Clinic/Center in Mineola, TX. Organization (NPI-2).
NPI number1619705134
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1619705134
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Community Healthcare Ministry
- Organization subpart
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Grace Community Healthcare Ministry (Doing Business As)
Practice location
312 N Pacific StMineola, TX 75773-1712
Phone 903-363-6361 · Fax 903-569-0029
Mailing address
312 N Pacific StMineola, TX 75773-1712
Phone 903-569-0020 · Fax 903-569-0029
Authorized official
Susan Roach
Administrator
9033636361
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinic/Center providers in Mineola, TX
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.