Organization
GRACEMED HEALTH CLINIC, INC
Active
Other names
GraceMed Clearwater Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ELDER DO (CEO)
(316) 866-2066
Entity
Organization
Contact information
Practice address
101 E ROSS ST, CLEARWATER, KS 67026-7824
(316) 866-2000
Mailing address
1150 N BROADWAY AVE, WICHITA, KS 67214-2805
(316) 866-2000
(316) 866-2084
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171883
MEDICARE
KS
Enumeration date
10/03/2018
Last updated
06/16/2026
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