Gcmc Pain Clinic

LBN: Grove City Medical Center
Gcmc Pain Clinic is an health care organization with primary practice located at 631 N Broad Street Ext , Grove City PA 16127-4603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Grove City Medical Center can be contacted via phone (724) 450-7000, or through Jackson, Robert C via phone (724) 450-7197.

Contact Information

Primary practice address
631 N Broad Street Ext Grove City PA 16127-4603
Fax: (724) 450-7013
Website:
Authorized official contact:
Name: Jackson, Robert C

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS005324L Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X OS005324L Pennsylvania

Profile Details

NPI number 1609390483
LBN Legal business name Grove City Medical Center
DBA Doing business as Gcmc Pain Clinic
Authorized official Jackson, Robert C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2017
Last updated Aug 2nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609390483 NPPES
Pennsylvania MEDICAID 0010895580018
Pennsylvania Other 401500

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