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NPI Code Detail

MEDICARE: GROVE CITY MEDICAL CENTER

MEDICARE: GROVE CITY MEDICAL CENTER
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
1314000000XSkilled Nursing Facility210802PA

General Provider Information

NPI Number : 1679565147
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROVE CITY MEDICAL CENTER
Provider Business Mailing Address
First Line : 631 N BROAD STREET EXT
Second Line :
City : GROVE CITY
State : PA
Zip : 16127-4603
Country : US
Telephone Number : 724-458-5442
Fax Number : 724-450-7179
Provider Business Practice Location Address
First Line : 631 N BROAD STREET EXT
Second Line :
City : GROVE CITY
State : PA
Zip : 16127-4603
Country : US
Telephone Number : 724-458-5442
Fax Number : 724-450-7179
Authorized Official
Title or Position : VP FINANCE & CFO
Name : MR. DAVID A. POLAND
Credential :
Telephone Number : 724-450-7198
Provider Enumeration Date : 08/19/2005
Last Update Date : 02/16/2016

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Directions to “GROVE CITY MEDICAL CENTER ” Practice Location

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