Organization Active NPI

Grace Women's Healthcare

  • Specialist
  • Belleville, IL
National Provider Identifier
1710118252
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GRACE WOMEN'S HEALTHCARE
Practice address
180 S 3Rd St
Suite 200
Belleville, IL 62220-1952
Phone
(618) 233-0017
Fax
(618) 233-0251
NPI assigned
Jul 31, 2009
Last updated
Jan 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Deborah J Rau
Title
Assistant Office Manager
Phone
(618) 233-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

180 S 3Rd St
Suite 200
Belleville, IL 62220-1952

Mailing address

180 S 3Rd St
Suite 200
Belleville, IL 62220-1952
Phone (618) 233-0017

National Provider Directory

National Provider Directory

Locations

301 W Lincoln St
Ste 200
Belleville, IL 62220
Phone (618) 233-0017

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1710118252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST",
            "address_2": "SUITE 200",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-233-0017",
            "fax_number": "618-233-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST",
            "address_2": "SUITE 200",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-233-0017",
            "fax_number": "618-233-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WOMEN'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "618-233-0017"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.