GRACE MEDICAL CENTER LLC (NPI# 1952911968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952911968 |
| Entity Type | Organization |
| Organization Name | GRACE MEDICAL CENTER LLC |
| Practice Address |
430 W Stuart Dr Hillsville VA 24343-1527 |
| Mailing Address |
Po Box 1341 Hillsville VA 24343-7341 |
| Practice Telephone | 2767283332 |
| Mailing Telephone | 2767283332 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | CRISTIE ANN BURNETTE (OWNER) |
| Authorized Official Telephone | 2767335513 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
430 W STUART DR |
| City | HILLSVILLE |
| State | VA |
| Zip Code | 24343-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528247772 | Medhat Elmasry | Internal Medicine | 430 W Stuart Dr, Hillsville, VA 24343-1527 | 2007-10-24 |
| 1861053860 | Cristie Ann Burnette | Nurse Practitioner | 430 W Stuart Dr, Hillsville, VA 24343-1527 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745813 | Joshua Michael Harrod | Counselor | 1070 N. Main St., Ste A, Hillsville, VA 24343 | 2020-06-18 |
| 1831500040 | Family Preservation Services, Inc | Community/Behavioral Health | 180 W. Main Street, Hillsville, VA 24343 | 2014-05-12 |
| 1336434653 | Yvette Ladd | Pharmacist | 130 Volunteer Rd, Hillsville, VA 24343 | 2011-06-15 |
| 1710143532 | Carroll County Board of Supervisors | Ambulance | 499 Floyd Pike Highway, Hillsville, VA 24343 | 2008-07-31 |
| 1467633388 | Caroline Rosales Seager Wynne-roberts | Acupuncturist | 2477 Huff Hill Rd, Hillsville, VA 24343 | 2007-11-20 |
| 1922159581 | Virginia Highlands Orthopaedic Spine Center, LLC | Physical Therapist | 215 East Grayson Street, Hillsville, VA 24343 | 2007-01-12 |
| 1346328655 | Carroll County Health Dept Dental Clinic | Dentist | 605-15 Pine Street, Hillsville, VA 24343 | 2006-11-02 |
| 1740364751 | Marlon A Goad | Dentist | 1202 N Main St, Hillsville, VA 24343 | 2006-10-25 |
| 1295828408 | Phipps Enterprise Inc | Pharmacy | 185 South Main St, Hillsville, VA 24343 | 2006-10-02 |
| 1487747978 | Tommi Suszan Malavolti | Chiropractor | 1070 N Main Street, Hillsville, VA 24343 | 2006-10-02 |
| Find all providers in zip 24343 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1518573864 | Yi's Acupuncture Clinic,inc. | Clinic/Center | 4216 Evergreen Ln Ste 112, Annandale, VA 22003-3253 | 2020-09-22 |
| 1770191660 | Treasure Health Inc | Clinic/Center | 6000 Stevenson Ave Ste F, Alexandria, VA 22304-3563 | 2020-07-17 |
| 1003443359 | Henry A Mccleary Dc LLC | Clinic/Center | 2239c Tacketts Mill Dr, Woodbridge, VA 22192-3026 | 2020-03-26 |
| 1962044420 | Alice Tseng Od Optometrist Pllc | Clinic/Center | 6211 Leesburg Pike, Falls Church, VA 22044-2107 | 2019-10-16 |
| 1164080057 | Hao Health and Healing LLC | Clinic/Center | 12011 Lee Jackson Memorial Hwy Ste 320, Fairfax, VA 22033-3310 | 2019-06-05 |
| 1245897941 | Metropolitan Medical | Clinic/Center | 3046 Valley Ave Ste 100, Winchester, VA 22601-2679 | 2019-05-29 |
| 1942768692 | Medsquare LLC | Clinic/Center | 8575a Sudley Rd, Manassas, VA 20110-3811 | 2019-03-12 |
| 1770055410 | Caring Hearts Free Clinic of Patrick County | Clinic/Center | 835 Woodland Dr Ste 101, Stuart, VA 24171-1586 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | HILLSVILLE |
| Zip Code | 24343 |
Please comment or provide details below to improve the information on GRACE MEDICAL CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.