Grace Healthcare Services, Llc in Mc Leansboro - Family
Grace Healthcare Services, Llc - NPI 1174669568
Grace Healthcare Services, Llc is a Family in Mc Leansboro, Illinois. Grace Healthcare Services, Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Grace Healthcare Services, Llc is 1174669568. The last update date is 2008-04-20.
Grace Healthcare Services, Llc's current location address is 104 E Market St, Mc Leansboro, Illinois. You can contact this provider via phone number 6186433051 and fax number 6186433164. The mailing address for Grace Healthcare Services, Llc is 104 E Market St, Mc Leansboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Healthcare Services, Llc |
|---|---|
| Address | 104 E Market St, Mc Leansboro, Illinois |
| Phone Number | 6186433051 |
| Fax Number | 6186433164 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Trotter L Rene |
| Credentials | FNP |
| Telephone Number | 6186433051 |
NPI Number Detail
| NPI Number | 1174669568 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 104 E Market St |
|---|---|
| City | Mc Leansboro |
| State | Illinois (IL) |
| Post Code | 628591317 |
| Phone Number | 6186433051 |
| Fax Number | 6186433164 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 318602171001 | IL | -- | |
| 788058 | IL | HEALTHLINK # | |
| DG2570 | IL | RAILROAD MEDICARE# | |
| P00425296 | IL | RAILROAD MEDICARE # | |
| 3332007 | IL | BCBS # | |
| 1568446805 | IL | PERSONAL NPI | |
| Q24440 | IL | UPIN # |
Post Comment/ Review Below
What is the unique identifier code issued to Grace Healthcare Services, Llc by the Centers for Medicare & Medicaid Services?
The Grace Healthcare Services, Llc has been assigned the NPI (National Provider Identifier) 1174669568. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Grace Healthcare Services, Llc is geographically located?
The Grace Healthcare Services, Llc is physically situated at the following location: 104 E Market St, Mc Leansboro, IL, 628591317.
What is the area of specialization for Grace Healthcare Services, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grace Healthcare Services, Llc is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174669568 to Grace Healthcare Services, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1174669568 to Grace Healthcare Services, Llc on 2007-01-30.
As of what date was the information regarding Grace Healthcare Services, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grace Healthcare Services, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-20.
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