Grace Family Practice Llc

LBN: Grace Family Practice Llc
Grace Family Practice Llc is an health care organization with primary practice located at 7368 County Road 623 Unit B , Millersburg OH 44654-9256. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Grace Family Practice Llc can be contacted via phone (330) 473-6314, or through Rochelle, Susan Ann via phone (330) 473-6314.

Contact Information

Primary practice address
7368 County Road 623 Unit B Millersburg OH 44654-9256
Phone: (330) 473-6314
Fax: (330) 473-6321
Website:
Map and Directions
Authorized official contact:
Name: Rochelle, Susan Ann
Phone: (330) 473-6314

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA 13542-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X COA 12493-NM Ohio

Profile Details

NPI number 1760850911
LBN Legal business name Grace Family Practice Llc
DBA Doing business as
Authorized official Rochelle, Susan Ann
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2015
Last updated Aug 11th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760850911 NPPES
Ohio MEDICAID 0143152

Popular Providers