MEDICARE: GROVE CITY AREA SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740231943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROVE CITY AREA SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	511 HIGHLAND AVE
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-1107
Country	:	US
Telephone Number	:	724-458-6733
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 HIGHLAND AVE
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-1107
Country	:	US
Telephone Number	:	724-458-6733
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PUPIL SERVICES
Name	:	JENNIFER LYNNE CONNELLY
Credential	:
Telephone Number	:	724-458-6733

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	01/07/2021

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Directions to “GROVE CITY AREA SCHOOL DISTRICT ” Practice Location

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