Organization Active NPI

Spanish American Civic Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, PA
National Provider Identifier
1821272766
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
362450 Issued in PA
Legal business name
SPANISH AMERICAN CIVIC ASSOCIATION
Practice address
445 E King St
Lancaster, PA 17602-3004
Phone
(717) 431-0833
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Mr. Carlos Graupers
Title
President
Phone
(717) 509-3712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 362450 PA Primary

Addresses

Primary practice location

445 E King St
Lancaster, PA 17602-3004

Mailing address

545 Pershing Ave
Lancaster, PA 17602-4369
Phone (717) 397-6267

Other identifiers 1

IdentifierTypeStateIssuer
1007776330018MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Nuestra Clinica6 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

445 E King St
Lancaster, PA 17602
Phone (717) 431-0833

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1821272766",
    "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": "717-397-6267",
            "fax_number": "717-295-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E KING ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023004",
            "telephone_number": "717-431-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH AMERICAN CIVIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "GRAUPERS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-509-3712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "362450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007776330018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 27, 2007; 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.