1. Home
  2. Directory
  3. Missouri
  4. Caruthersville
  5. Internal Medicine
  6. NPI Profile

GRACE FAMILY MEDICAL CLINIC, LLC
NPI 1780119651
Internal Medicine in Caruthersville, MO

Active since April 27, 2017
1206 WARD AVE, CARUTHERSVILLE, MO 63830(573) 922-5111(573) 922-5126 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Family Medical Clinic, Llc NPPES

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

GRACE FAMILY MEDICAL CLINIC, LLC (NPI 1780119651) is a healthcare organization registered as an internal medicine in Caruthersville, Missouri and active in the NPI registry since April 2017. The organization lists Joseph M Kulpeksa, Owner, as its authorized official.

NPPES Registry Identity

NPI1780119651
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRACE FAMILY MEDICAL CLINIC, LLC
Location Address1206 WARD AVECaruthersville, MO 63830-2204
Mailing Address1206 Ward AveCaruthersville, MO 63830-2204 · (573) 922-5111 · Fax (573) 922-5126
Phone(573) 922-5111
Fax(573) 922-5126
Organization SubpartNo
Authorized OfficialJoseph M KulpeksaOwner · (573) 922-5111
Enumeration DateApril 27, 2017
✔ NPI 1780119651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 117451
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1206 WARD AVE, Caruthersville, MO 63830
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

FAMILY IN-HOME SERVICES LLC
Home Health
1206 WARD AVE
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 333-1999

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 Family Medical Clinic, LLC's NPI number?

The NPI number for Grace Family Medical Clinic, LLC is 1780119651. It was assigned to this organization in the NPPES registry on April 27, 2017.

Where is Grace Family Medical Clinic, LLC located?

Grace Family Medical Clinic, LLC is located at 1206 Ward Ave, Caruthersville, MO 63830. The listed phone number is (573) 922-5111.

What is Grace Family Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Grace Family Medical Clinic, LLC was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.