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Greenville Medical Center

Body Imaging Physician in Greenville, PA · enumerated 2006 · authorized official Thora Jackson, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902874142

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Registry record

Entity type Organization (Type 2)
Legal business name Greenville Medical Center
Practice address 90 Shenango St, Greenville, PA, 16125
Fax (724) 588-0198
Enumeration date Mar 14, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Thora Jackson
Title Administrator

Other identifiers

Identifier Type State Issuer
0006509810001 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Greenville Medical Center?
Greenville Medical Center is registered in NPPES as a Body Imaging Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.