GRACE HEALTH CLINIC AND URGENT CARE LLC
NPI 1255182994
Clinic/Center - Mental Health (Including Community Mental Health Center) in Marysville, WA

NPI Status: Active since March 29, 2024

Contact Information

1106 COLUMBIA AVE STE 125
MARYSVILLE, WA
ZIP 98270
Phone: (360) 200-1696
Fax: (360) 972-7269

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 50D2308498
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About GRACE HEALTH CLINIC AND URGENT CARE LLC

This page provides the complete NPI Profile along with additional information for Grace Health Clinic And Urgent Care Llc, a provider established in Marysville, Washington operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1255182994 assigned on March 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Abisola Onashile (Provider)

NPI
1255182994
Provider Name
GRACE HEALTH CLINIC AND URGENT CARE LLC
Entity Type
Organization
Location Address
1106 COLUMBIA AVE STE 125 MARYSVILLE, WA 98270
Location Phone
(360) 200-1696
Location Fax
(360) 972-7269
Mailing Address
1106 COLUMBIA AVE STE 125 MARYSVILLE, WA 98270
Mailing Phone
(360) 200-1696
Mailing Fax
(360) 972-7269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2024
Last Update Date
03-29-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ABISOLA ONASHILE

Authorized Official Title
PROVIDER
Authorized Official Phone
(360) 200-1696

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2308498
Facility Type
Community Clinic
Certificate Effective Date
July 30, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
ABISOLA ONASHILE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grace Health Clinic And Urgent Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255182994, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 2 + 8 + 4 + 9 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255182994.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
1106 COLUMBIA AVE STE 125
MARYSVILLE, WA 98270
Nurse Practitioner (Family)
1106 COLUMBIA AVE STE 125
MARYSVILLE, WA 98270
Nurse Practitioner (Family)
1106 COLUMBIA AVE STE 125
MARYSVILLE, WA 98270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255182994, enumerated as an "organization" on March 29, 2024.

The provider is located at 1106 COLUMBIA AVE STE 125 MARYSVILLE, WA 98270 and the phone number is (360) 200-1696.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).