Active NPI
Grove City Medical Center
- Skilled Nursing Facility
- Grove City, PA
National Provider Identifier
1679565147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 210802
- Legal business name
- GROVE CITY MEDICAL CENTER
- Practice address
- 631 N Broad Street Ext
Grove City, PA 16127-4603 - Phone
- (724) 458-5442
- Fax
- (724) 450-7179
- NPI assigned
- Aug 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A. Poland
- Title
- VP Finance & Cfo
- Phone
- (724) 450-7198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 210802 | PA | Primary |
Addresses
Primary practice location
631 N Broad Street Ext
Grove City, PA 16127-4603
Mailing address
631 N Broad Street Ext
Grove City, PA 16127-4603
Phone (724) 458-5442
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455580800000",
"number": "1679565147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 N BROAD STREET EXT",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161274603",
"telephone_number": "724-458-5442",
"fax_number": "724-450-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 N BROAD STREET EXT",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161274603",
"telephone_number": "724-458-5442",
"fax_number": "724-450-7179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE CITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-19",
"last_updated": "2016-02-16",
"status": "A",
"authorized_official_last_name": "POLAND",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "VP FINANCE & CFO",
"authorized_official_telephone_number": "724-450-7198",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "210802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.