GRACE COMMUNITY HEALTHCARE MINISTRY
NPI 1619705134
Clinic/Center in Mineola, TX

NPI Status: Active since July 25, 2024

Contact Information

312 N PACIFIC ST
MINEOLA, TX
ZIP 75773
Phone: (903) 363-6361
Fax: (903) 569-0029

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  • Organization
  • Clinic/Center
  • CLIA Number: 45D1041212
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-25-2027

About GRACE COMMUNITY HEALTHCARE MINISTRY

This page provides the complete NPI Profile along with additional information for Grace Community Healthcare Ministry, a provider established in Mineola, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1619705134 assigned on July 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Grace Community Healthcare Ministry. The authorized official of this NPI record is Mrs. Susan Roach (Administrator)

NPI
1619705134
Provider Legal Name
GRACE COMMUNITY HEALTHCARE MINISTRY
Other Organization Name
GRACE COMMUNITY HEALTHCARE MINISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
312 N PACIFIC ST MINEOLA, TX 75773
Location Phone
(903) 363-6361
Location Fax
(903) 569-0029
Mailing Address
312 N PACIFIC ST MINEOLA, TX 75773
Mailing Phone
(903) 569-0020
Mailing Fax
(903) 569-0029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2024
Last Update Date
07-25-2024
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MRS. SUSAN ROACH

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(903) 363-6361

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
45D1041212
Facility Type
Community Clinic
Certificate Effective Date
May 26, 2025
Certificate Expiration Date
May 25, 2027
Laboratory Director
MARK C. RACE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grace Community Healthcare Ministry 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 1619705134, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
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 1 → 2 7 → 14 → 5 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 4 + 0 + 1 + 0 + 1 + 6 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1619705134.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
312 N PACIFIC ST
MINEOLA, TX 75773

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619705134, enumerated as an "organization" on July 25, 2024.

The provider is located at 312 N PACIFIC ST MINEOLA, TX 75773 and the phone number is (903) 363-6361.

Clinic/Center with taxonomy code 261Q00000X.