Grace Hospital, Inc.

Organization Active NPI Family Medicine Physician · Valdese, NC

NPI 1770797409 · NPPES record last updated Apr 23, 2010

Key facts

NPI
1770797409
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
GRACE HOSPITAL, INC.
Practice address
2659 US Hwy 70E
Valdese, NC 28690
Phone
(828) 580-4080
Fax
(828) 580-4089
NPI assigned
May 10, 2007
Organization subpart
No

Authorized official

Name
Robert Fritts
Title
SVP-Cfo
Phone
(828) 580-5545

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Karl V Schroeder MD (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

2659 US Hwy 70E
Valdese, NC 28690

Mailing address

2659 US Hwy 70E
Valdese, NC 28690
Phone (828) 580-4080

Other identifiers

IdentifierTypeStateIssuer
2005000010OtherNCLICENSE
9400856OtherNCLICENSE

Other names

  • Drexel Medical Practice Doing business as

Other providers in Valdese, NC

All providers in Valdese, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.