GRACE PLACE FOR WOMEN, INCORPORATED
NPI 1104107192
Obstetrics & Gynecology in Farmington, NM

Q: What is Grace Place For Women, Incorporated's NPI number?

The NPI number for Grace Place For Women, Incorporated is 1104107192. It was assigned to this organization in the NPPES registry on September 2, 2011.

Q: What is Grace Place For Women, Incorporated's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since September 02, 2011CLIA 32D1061325 · Waiver

4801 N BUTLER AVE STE 3102, FARMINGTON, NM 87401(505) 327-4747(505) 327-2025 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grace Place For Women, Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE PLACE FOR WOMEN, INCORPORATED (NPI 1104107192) is a healthcare organization registered as an obstetrics & gynecology in Farmington, New Mexico and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Deborah Joslin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104107192

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameGRACE PLACE FOR WOMEN, INCORPORATED

Location Address4801 N BUTLER AVE STE 3102Farmington, NM 87401-0815

Mailing AddressPo Box 2256Farmington, NM 87499-2256 · (505) 327-4747 · Fax (505) 327-2025

Phone(505) 327-4747

Fax(505) 327-2025

Organization SubpartNo

Authorized OfficialDeborah JoslinCeo · (505) 327-4747

Enumeration DateSeptember 2, 2011

Last NPPES UpdateMay 23, 2012

✔ NPI 1104107192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NM · MD2010-0229✔ Licensed in NM · MD2010-0578

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2008-0053 (NM)

4801 N BUTLER AVE STE 3102, Farmington, NM 87401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D1061325

Grace Place For Women Inc · Farmington, NM

Active · expires Feb 14, 2027

CLIA Number32D1061325

Laboratory TypeMedical Pregnancy Resourc

Certificate Effective DateFebruary 15, 2025

Certificate Expiration DateFebruary 14, 2027

Laboratory DirectorDr. Matthew Dekay

Laboratory Phone(505) 327-4747

Laboratory LocationGrace Place For Women Inc4801 N Butler Suite 3102, Farmington, NM 87401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIGH DESERT FAMILY MEDICINE LLC

Family Medicine

4801 N BUTLER AVE STE 3102
FARMINGTON, NM 87401

San Juan County (505) 325-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Place For Women, Incorporated's NPI number?

The NPI number for Grace Place For Women, Incorporated is 1104107192. It was assigned to this organization in the NPPES registry on September 2, 2011.

Where is Grace Place For Women, Incorporated located?

Grace Place For Women, Incorporated is located at 4801 N Butler Ave Ste 3102, Farmington, NM 87401. The listed phone number is (505) 327-4747.

What is Grace Place For Women, Incorporated's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Grace Place For Women, Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D1061325) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Place For Women, Incorporated was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.