Organization Active NPI

Spanish American Civic Association for Equity, Inc

  • Adult Mental Health Clinic/Center
  • Lancaster, PA
National Provider Identifier
1194088351
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
329680 Issued in PA
Legal business name
SPANISH AMERICAN CIVIC ASSOCIATION FOR EQUITY, INC
Practice address
453 S Lime St
Suite a
Lancaster, PA 17602-3649
Phone
(717) 431-1411
Fax
(717) 295-7762
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mr. Carlos Graupera
Title
Ceo
Phone
(717) 509-3712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 329680 PA Primary

Addresses

Primary practice location

453 S Lime St
Suite a
Lancaster, PA 17602-3649

Mailing address

545 Pershing Ave
Lancaster, PA 17602-4369
Phone (717) 293-4150

Other names 1

  • Nuestra Clinica Partial Hospitalization Program Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420001075 PA Part B Supplier - Clinic/Group Practice 9436197464 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
Practice locations: Lancaster, PA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

453 S Lime St
Ste A
Lancaster, PA 17602
Phone (717) 431-1411

Practitioners & affiliated clinicians

Practitioners 3

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": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1194088351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PERSHING AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024369",
            "telephone_number": "717-293-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S LIME ST",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023649",
            "telephone_number": "717-431-1411",
            "fax_number": "717-295-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH AMERICAN CIVIC ASSOCIATION FOR EQUITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "GRAUPERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-509-3712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "329680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuestra Clinica Partial Hospitalization Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.