| Grace Hospital, Inc. | |
|
2659 Us Hwy 70e Valdese NC 28690 | |
| (828) 580-4080 | |
| (828) 580-4089 |
| Full Name | Grace Hospital, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2659 Us Hwy 70e, Valdese, North Carolina |
| Authorized Official Name and Position | Robert Fritts (SVP-CFO) |
| Authorized Official Contact | 8285805545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Hospital, Inc. 2659 Us Hwy 70e Valdese NC 28690 Ph: (828) 580-4080 | Grace Hospital, Inc. 2659 Us Hwy 70e Valdese NC 28690 Ph: (828) 580-4080 |
| NPI Number | 1770797409 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770797409 | NPI | - | NPPES |
| 2005000010 | Other | NC | LICENSE |
| 9400856 | Other | NC | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Blue Ridge Healthcare Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2659 Us Hwy 70 E, Valdese, NC 28690 Phone: 828-580-4080 Fax: 828-580-4089 | |
John C Betancourt Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Malcolm Blvd, Suite 203, Valdese, NC 28690 Phone: 828-874-4600 Fax: 828-874-8900 |