Provider Demographics
NPI:1720744493
Name:GRACE BIBLE CHURCH OF MARYSVILLE
Entity type:Organization
Organization Name:GRACE BIBLE CHURCH OF MARYSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATHLETIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:RUHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-879-3372
Mailing Address - Street 1:8521 67TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-7855
Mailing Address - Country:US
Mailing Address - Phone:360-659-8517
Mailing Address - Fax:360-653-5899
Practice Address - Street 1:8521 67TH AVE NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-7855
Practice Address - Country:US
Practice Address - Phone:360-659-8517
Practice Address - Fax:360-653-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution