GREENVILLE MEDICAL CENTER
NPI 1902874142
Radiology - Body Imaging in Greenville, PA

Active since March 14, 2006
90 SHENANGO ST, GREENVILLE, PA 16125(724) 588-4240(724) 588-0198 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Greenville Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENVILLE MEDICAL CENTER (NPI 1902874142) is a healthcare organization registered as a body imaging in Greenville, Pennsylvania and active in the NPI registry since March 2006. The organization lists Thora R Jackson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902874142
Entity TypeOrganization
Primary Taxonomy2085B0100X
Legal Business NameGREENVILLE MEDICAL CENTER
Location Address90 SHENANGO STGreenville, PA 16125-2060
Mailing Address90 Shenango StGreenville, PA 16125-2060 · (724) 588-4240 · Fax (724) 588-0198
Fax(724) 588-0198
Organization SubpartNo
Authorized OfficialThora R JacksonAdministrator · (724) 589-4300
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1902874142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X

Other Identifiers 1

Medicaid0006509810001PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
90 SHENANGO ST
GREENVILLE, PA 16125
Pediatrics
90 SHENANGO ST, SUITE 12
GREENVILLE, PA 16125
Internal Medicine
90 SHENANGO ST
GREENVILLE, PA 16125
Obstetrics & Gynecology
90 SHENANGO ST
GREENVILLE, PA 16125
Family Medicine
90 SHENANGO ST
GREENVILLE, PA 16125
Family Medicine
90 SHENANGO ST
GREENVILLE, PA 16125
Orthopaedic Surgery
90 SHENANGO ST, GREENVILLE MEDICAL CENTER
GREENVILLE, PA 16125
Family Medicine
90 SHENANGO ST
GREENVILLE, PA 16125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenville Medical Center's NPI number?

The NPI number for Greenville Medical Center is 1902874142. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Greenville Medical Center located?

Greenville Medical Center is located at 90 Shenango St, Greenville, PA 16125. The listed phone number is (724) 588-4240.

What is Greenville Medical Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for Greenville Medical Center was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.