Grace Family Care, Pc

LBN: Grace Family Care, Pc
Grace Family Care, Pc is an health care organization with primary practice located at 10616 Metromont Pkwy Suite 104, Charlotte NC 28269-7657. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Grace Family Care, Pc can be contacted via phone (704) 921-6659, or through Pamintuan, Grace C via phone (704) 921-6659.

Contact Information

Primary practice address
10616 Metromont Pkwy Suite 104 Charlotte NC 28269-7657
Phone: (704) 921-6659
Fax: (704) 921-6698
Website:
Map and Directions
Authorized official contact:
Name: Pamintuan, Grace C Doctor of Medicine (MD)
Phone: (704) 921-6659

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X N 97 00121 North Carolina

Profile Details

NPI number 1457674269
LBN Legal business name Grace Family Care, Pc
DBA Doing business as
Authorized official Pamintuan, Grace C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2010
Last updated Mar 8th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457674269 NPPES
North Carolina MEDICAID 891070P

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