Healthcare Provider Details

I. General information

NPI: 1023000296
Provider Name (Legal Business Name): GROVE CITY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 N BROAD STREET EXT
GROVE CITY PA
16127-4603
US

IV. Provider business mailing address

631 N BROAD STREET EXT
GROVE CITY PA
16127-4603
US

V. Phone/Fax

Practice location:
  • Phone: 724-450-7196
  • Fax: 724-450-7380
Mailing address:
  • Phone: 724-450-7196
  • Fax: 724-450-7380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHP418323L
License Number StatePA

VIII. Authorized Official

Name: MR. RICK FRIES
Title or Position: VP, FINANCE
Credential:
Phone: 412-330-2472