Grace Health Clinic and Urgent Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRACE HEALTH CLINIC AND URGENT CARE LLC

Practice address

1106 Columbia Ave Ste 125
Marysville, WA 98270-4343

Phone

(360) 200-1696

Fax

(360) 972-7269

NPI assigned

Mar 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abisola OnashileNPI 1750879565

Title

Provider

Phone

(360) 200-1696

Specialties & licenses 1

Addresses

Tax ID family

Grace Health Clinic and Urgent Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Health Clinic and Urgent Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marysville, WA
  • NPI 1255182994
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abisola Onashile

  • Family Nurse Practitioner
  • Marysville, WA
  • NPI 1750879565
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1083465728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE STE 125",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704343",
            "telephone_number": "360-200-1696",
            "fax_number": "360-972-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE STE 125",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704343",
            "telephone_number": "360-200-1696",
            "fax_number": "360-972-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTH CLINIC AND URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "ONASHILE",
        "authorized_official_first_name": "ABISOLA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-200-1696"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Joseph Gosch, D.D.S.
• Mindy Graber, M.S., LMHC
• Grace Bible Church of Marysville
• Grace Connection Services
• Grace Cortes-Stefanovic, OD PLLC
• Grace Health Clinic and Urgent Care LLC
• Tracey Grady, LMHC
• Susy Granados, MA60876400
• Kerianne Marie Grant
• Cameryn Elizabeth-Anne Grassanovits, PA-C

• Primary Care Clinic/Center in Marysville, WA
• Providers in Marysville, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.