NPIMap

Organization Active NPI

Greenville Neuromodulation Center, Inc.

  • Rehabilitation Hospital
  • Greenville, PA
National Provider Identifier
1265867121
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
598817 Issued in PA
Legal business name
GREENVILLE NEUROMODULATION CENTER, INC.
Practice address
179 Main St
Greenville, PA 16125-2145
Phone
(724) 588-1324
Fax
(724) 373-8350
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Timothy Williams
Title
VP Bod
Phone
(724) 588-1324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 598817 PA Primary

Addresses

Primary practice location

179 Main St
Greenville, PA 16125-2145

Mailing address

179 Main St
Greenville, PA 16125-2145
Phone (724) 588-1324

National Provider Directory

National Provider Directory

Locations

179 Main St
Greenville, PA 16125
Phone (724) 588-1324

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8174/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1265867121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252145",
            "telephone_number": "724-588-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252145",
            "telephone_number": "724-588-1324",
            "fax_number": "724-373-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE NEUROMODULATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP BOD",
        "authorized_official_telephone_number": "724-588-1324"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "PA",
            "license": "598817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.