Grace Clinics of Ohio, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GRACE CLINICS OF OHIO, INC.

Doing business as

Grace Clinic Delaware
Hardin Clinic

Practice address

40 S Franklin St
Delaware, OH 43015-2307

Phone

(740) 816-6955

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Erica Wood, LPCC

Title

Executive Director

Phone

(740) 816-6955

Specialties & licenses 1

Addresses

Other names 2

• Grace Clinic Delaware Doing business as
• Hardin Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16701/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1265929020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S FRANKLIN ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S FRANKLIN ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152307",
            "telephone_number": "740-816-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CLINICS OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-816-6955",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Clinic Delaware",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hardin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lynn Goodwin, SLP
• Nancy Anne Gorby, S.T.N.A
• Grace and Joy Homecare Services LLC
• Grace and Joy Homecare Services LLC
• Grace and Joy Homecare Services LLC Services
• Grady Anesthesia Services, Inc
• Grady Emergency Physicians Inc.
• Grady Memorial Hospital (Infusion Grady)
• Grady Memorial Hospital
• Jane Ellen Graebner, D.P.M.

• Clinic/Center in Delaware, OH
• Providers in Delaware, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.