NPIMap

Organization Active NPI

Greater Erie Community Action Committee

  • Community/Behavioral Health Agency
  • Edinboro, PA
National Provider Identifier
1215057500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
257040 Issued in PA
Legal business name
GREATER ERIE COMMUNITY ACTION COMMITTEE
Practice address
Edinboro University of PA
Ghering Health Center
Edinboro, PA 16444-0001
Phone
(814) 734-1218
Fax
(814) 734-2666
NPI assigned
Mar 30, 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
Mr. C. Michael Calhoun, M.ED.,CCS
Title
D&a Division Manager
Phone
(814) 870-5408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 257040 PA Primary

Addresses

Primary practice location

Edinboro University of PA
Ghering Health Center
Edinboro, PA 16444-0001

Mailing address

27 W 8TH St
Erie, PA 16501-1347
Phone (814) 870-5408

Other identifiers 1

IdentifierTypeStateIssuer
1002063850013MedicaidPA

Other names 1

  • GECAC D&A Services 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

University Of
Edinboro, PA 16444
Phone (814) 732-1862

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215057500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011347",
            "telephone_number": "814-870-5408",
            "fax_number": "814-480-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDINBORO UNIVERSITY OF PA",
            "address_2": "GHERING HEALTH CENTER",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164440001",
            "telephone_number": "814-734-1218",
            "fax_number": "814-734-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ERIE COMMUNITY ACTION COMMITTEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "D&A DIVISION MANAGER",
        "authorized_official_telephone_number": "814-870-5408",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED.,CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "257040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002063850013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GECAC D&A Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinboro, 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.