Organization
GROVE CITY MEDICAL CENTER
Active
Other names
GCMC Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C JACKSON JR. (CHIEF EXECUTIVE OFFICER)
(724) 450-7197
Entity
Organization
Contact information
Practice address
631 N BROAD STREET EXT, GROVE CITY, PA 16127-4603
(724) 450-7000
(724) 450-7013
Mailing address
631 N. BROAD STREET EXT., GROVE CITY, PA 16127-4603
(724) 450-7000
(724) 450-7013
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS005324L
PA
208VP0000X
Pain Medicine Physician
OS005324L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010895580018
—
PA
01
—
401500
ISSUER
—
Enumeration date
08/02/2017
Last updated
08/02/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us