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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
181 W EMMETT ST, BATTLE CREEK, MI 49037-2963
(269) 966-2600
(269) 965-4773
Mailing address
181 W EMMETT ST, BATTLE CREEK, MI 49037-2963
(269) 966-2600
(269) 965-4773

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0A36090
MEDICARE GROUP NUMBER
01
231836
MEDICARE LOCATION NUMBER
01
700A360900
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/04/2006
Last updated
02/16/2018
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