Grace Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GRACE HEALTH, INC.

Practice address

62 Michigan Ave E
Battle Creek, MI 49017-4006

Phone

(269) 965-8866

NPI assigned

Mar 2, 2017

Last updated

Feb 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter S Chang, MDNPI 1205814811

Title

President / Ceo

Phone

(269) 965-8866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700326204. Details of each certification follow.

• CCN 231115 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 231115

Legal name

GRACE HEALTH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 8, 2017

Last certification

Sep 8, 2017

Ownership / control type

For profit – corporation

Facility address

62 E Michigan Ave
Battle Creek, MI 49017

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter S Chang, MD

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1205814811
  Authorized official Same address or phone

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1700326204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-966-2600",
            "fax_number": "269-965-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MICHIGAN AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490174006",
            "telephone_number": "269-965-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "269-965-8866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.

• Federally Qualified Health Center (FQHC) in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.