Organization
GRACE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S CHANG MD (PRESIDENT / CEO)
(269) 965-8866
Entity
Organization
Contact information
Practice address
115 MARKET PL, ALBION, MI 49224-1767
(517) 629-6540
(517) 629-6589
Mailing address
181 W EMMETT ST, BATTLE CREEK, MI 49037-2963
(269) 965-8866
(269) 965-4773
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A36090
MEDICARE GROUP NUMBER
—
01
—
231885
MEDICARE LOCATION NUMBER
—
01
—
700A311700
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/09/2006
Last updated
02/16/2018
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