NPIMap

Organization Active NPI

Grace Hill Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
National Provider Identifier
1346258126
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
1346258126 Issued in MO
Legal business name
GRACE HILL HEALTH CENTERS, INC.
Practice address
800 N Tucker Blvd
Saint Louis, MO 63101-1114
Phone
(314) 241-2200
NPI assigned
Aug 4, 2006
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Mrs. Janet Voss
Title
Cfo
Phone
(314) 814-8571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 1346258126 MO Primary

Addresses

Primary practice location

800 N Tucker Blvd
Saint Louis, MO 63101-1114

Mailing address

PO Box 551
Saint Louis, MO 63188-0551
Phone (314) 814-8515

Other identifiers 2

IdentifierTypeStateIssuer
500899539MedicaidMO
26D0957248OtherCLIA

Other names 1

  • St. Patrick Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000048 MO Part B Supplier - Clinic/Group Practice 1052386919 Receives reassigned benefits from 90 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Louis, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346258126. Details of each certification follow.

  • CCN 261890 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 261890

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GRACE HILL AT ST PATRICK HEALTH SERVICE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 24, 2005
Last certification
Oct 24, 2005
Ownership / control type
For profit – partnership
Facility address
800 North Tucker Street
Saint Louis, MO 63101

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Affinia Healthcare21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1346258126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631880551",
            "telephone_number": "314-814-8515",
            "fax_number": "314-814-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011114",
            "telephone_number": "314-241-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HILL HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "VOSS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-814-8571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MO",
            "license": "1346258126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500899539",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0957248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Patrick",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.