Organization Active NPI

Rockwall Grace Center for Family & Community Development

  • Primary Care Clinic/Center
  • Rockwall, TX
National Provider Identifier
1598534349
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROCKWALL GRACE CENTER FOR FAMILY & COMMUNITY DEVELOPMENT
Practice address
602 N Goliad St
Rockwall, TX 75087-2722
Phone
(972) 722-4606
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mary M Walker
Title
Executive Director
Phone
(972) 722-4606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

602 N Goliad St
Rockwall, TX 75087-2722

Mailing address

602 N Goliad St
Rockwall, TX 75087-2722
Phone (972) 722-4606

Other names 1

  • Grace Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2078452Grace Clinic602 North Goliad, Rockwall, TX 75087Provider-performed microscopyFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

602 N Goliad St
Rockwall, TX 75087
Phone (972) 722-4606

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1598534349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872722",
            "telephone_number": "972-722-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872722",
            "telephone_number": "972-722-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL GRACE CENTER FOR FAMILY & COMMUNITY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-722-4606"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.