NPIMap

Organization Active NPI

Greater Erie Community Action Committee

  • Supports Brokerage Agency
  • Erie, PA
National Provider Identifier
1003937566
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
GREATER ERIE COMMUNITY ACTION COMMITTEE
Practice address
18 W 9TH St
Erie, PA 16501-1343
Phone
(814) 459-4581
Fax
(814) 456-0161
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Debra Mennecke
Title
Division Manager
Phone
(814) 459-4581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

18 W 9TH St
Erie, PA 16501-1343

Mailing address

18 W 9TH St
Erie, PA 16501-1343
Phone (814) 459-4581

Other identifiers 1

IdentifierTypeStateIssuer
1002063850020MedicaidPA

Other names 1

  • Area Agency on Aging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gecac Da Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18 W 9th St
Erie, PA 16501
Phone (814) 459-4581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003937566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W 9TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011343",
            "telephone_number": "814-459-4581",
            "fax_number": "814-456-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W 9TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011343",
            "telephone_number": "814-459-4581",
            "fax_number": "814-456-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ERIE COMMUNITY ACTION COMMITTEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENNECKE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIVISION MANAGER",
        "authorized_official_telephone_number": "814-459-4581",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002063850020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Area Agency on Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.