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

Active since July 25, 2024CLIA 45D1041212 · Waiver
312 N PACIFIC ST, MINEOLA, TX 75773(903) 363-6361(903) 569-0029 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Community Healthcare Ministry NPPES

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

GRACE COMMUNITY HEALTHCARE MINISTRY (NPI 1619705134) is a healthcare organization registered as a clinic/center in Mineola, Texas and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Susan Roach, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619705134
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGRACE COMMUNITY HEALTHCARE MINISTRY
Location Address312 N PACIFIC STMineola, TX 75773-1712
Mailing Address312 N Pacific StMineola, TX 75773-1712 · (903) 569-0020 · Fax (903) 569-0029
Phone(903) 363-6361
Fax(903) 569-0029
Organization SubpartNo
Authorized OfficialSusan RoachAdministrator · (903) 363-6361
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1619705134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
312 N PACIFIC ST, Mineola, TX 75773
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Other Names 1

Doing Business AsGrace Community Healthcare Ministry

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 45D1041212

Grace Community Healthcare Ministry · Mineola, TX
Active · expires May 25, 2027
CLIA Number45D1041212
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorMark C. Race
Laboratory Phone(903) 569-0020
Laboratory LocationGrace Community Healthcare Ministry312 N Pacific, Mineola, TX 75773
CLIA data matches this NPI record on: Address 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.

TONY PHILLIPS PA
Physician Assistant
312 N PACIFIC ST
MINEOLA, TX 75773
Wood County (903) 569-0020

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 Community Healthcare Ministry's NPI number?

The NPI number for Grace Community Healthcare Ministry is 1619705134. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is Grace Community Healthcare Ministry located?

Grace Community Healthcare Ministry is located at 312 N Pacific St, Mineola, TX 75773. The listed phone number is (903) 363-6361.

What is Grace Community Healthcare Ministry's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Grace Community Healthcare Ministry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1041212) is associated with this NPI, valid through May 25, 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 Community Healthcare Ministry was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.