GRACE HEALTH CLINIC (NPI# 1295290963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295290963 |
| Entity Type | Organization |
| Organization Name | GRACE HEALTH CLINIC |
| Practice Address |
1425 Fremaux Ave Slidell LA 70458-3150 |
| Mailing Address |
61628 Shady Pine Rd Lacombe LA 70445-3724 |
| Practice Telephone | 6012874038 |
| Practice Fax Number | 8558074750 |
| Mailing Telephone | 6012971159 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | BIANCA JACKSON (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 6012971159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05427361 | 05 | |
| LA | 2427806 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275864449 | Grace Health Clinic | Clinic/Center | 10 S Havana St, Ste 103, Aurora, CO 80012-6431 | 2010-01-27 |
| Street Address |
1425 FREMAUX AVE |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629263553 | Anil Prasad | Neuromusculoskeletal Medicine & OMM | 1425 Fremaux Ave, Suite A, Slidell, LA 70458-3150 | 2007-09-13 |
| 1407296775 | Darrin Jackson | Family Medicine | 1425 Fremaux Ave, Slidell, LA 70458-3150 | 2013-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1598311029 | Southern Louisiana Medical Group, LLC | Family Medicine | 2104 Gause Blvd W Ste A, Slidell, LA 70460-4130 | 2019-08-12 |
| 1962960302 | Robert Weiss | Family Medicine | 13 S Treasure Isle, Slidell, LA 70461-1110 | 2019-03-05 |
| 1508378118 | Jembber Robinson | Family Medicine | 1570 Lindberg Dr Ste 14, Slidell, LA 70458-8084 | 2017-11-05 |
| 1336405711 | Stephanie N Seasly | Family Medicine | 360 Gateway Dr, Suite B, Slidell, LA 70461-5595 | 2012-04-10 |
| 1841434404 | Hatem Fikry Ahmed Hamed | Family Medicine | 360 Gateway Dr Ste B, Slidell, LA 70461-5596 | 2009-04-27 |
| 1306014667 | Robert L Tassin Jr. | Family Medicine | 119 White Stork Dr, Slidell, LA 70461-3207 | 2008-02-20 |
| 1346364544 | Tradina Pichon | Family Medicine | 1414 Gause Blvd, Suite 16, Slidell, LA 70458-2265 | 2007-03-16 |
| 1962598540 | Gilo Kawasaki | Family Medicine | 60491 Doss Dr, Slidell, LA 70460-4972 | 2006-10-04 |
| 1730149329 | Rory J Duffour | Family Medicine | 901 Gause Blvd Ste 100, Slidell, LA 70458 | 2006-03-27 |
| Find all providers in SLIDELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.