GRACE HEALTH SERVICES PLLC NPI 1457849457

NPI Information

NPI: 1457849457
Provider Name: GRACE HEALTH SERVICES PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D2146629

Address:
104 GRAND AVENUE
COPPERHILL, TN
ZIP 37317
Phone: (423) 548-1000
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GRACE HEALTH SERVICES PLLC is a primary care clinic center in Copperhill, TN. GRACE HEALTH SERVICES PLLC NPI is 1457849457. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

104 GRAND AVENUE
COPPERHILL, TN
ZIP 37317
Phone: (423) 548-1000
Fax: (423) 548-1002

The provider's authorized official is Bethany C Whitener .
The authorized official title is Owner and has the following contact phone number (706) 455-1478.

The CLIA number assigned to this NPI record is 44D2146629 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 8/17/2021.

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	207R00000X	Internal Medicine		2341	TENNESSEE	No
2	261QP2300X	Clinic/Center	Primary Care	24080	TENNESSEE	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: 11/14/2023

NPI Synchronization or Removal

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