1093244832 NPI number — GRACE FAMILY CLINIC, L.L.C.

Table of content: (NPI 1306312863)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093244832 NPI number — GRACE FAMILY CLINIC, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRACE FAMILY CLINIC, L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093244832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22450 BALMORAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENHAM SPRINGS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70726-8828
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-208-2220
Provider Business Mailing Address Fax Number:
281-208-2220

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 1/2 WHITE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMMOND
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70403-4857
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-208-2220
Provider Business Practice Location Address Fax Number:
281-208-2225
Provider Enumeration Date:
06/06/2017

Additional Information

Authorized Official

Authorized Official Last Name:
FELDER
Authorized Official First Name:
SHIRL
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
MANAGER/OWNER
Authorized Official Telephone Number:
281-208-2220

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1326372087 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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