Grace Medical Clinics P.A
LBN: Grace Medical Clinics P.A.
Grace Medical Clinics P.A is an health care organization with primary practice located at 2317 Concord Lake Rd , Concord NC 28025-2813. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Grace Medical Clinics P.A. can be contacted via phone (704) 933-2101, or through Tokunboh, Olufemi A via phone (704) 933-2101.
Contact Information
Primary practice address
2317 Concord Lake Rd
Concord NC 28025-2813
Phone: (704) 933-2101
Fax: (704) 933-1150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1609978824 |
|---|---|
| LBN Legal business name | Grace Medical Clinics P.A. |
| DBA Doing business as | Grace Medical Clinics P.A |
| Authorized official | Tokunboh, Olufemi A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Feb 26th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609978824 | NPPES |
| North Carolina | MEDICAID | 89011GG |
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