1043278500 NPI number — GRAND VIEW HOSPITAL

Table of content: (NPI 1043278500)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043278500 NPI number — GRAND VIEW HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRAND VIEW HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043278500
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 LAWN AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SELLERSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18960-0902
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-453-4265
Provider Business Mailing Address Fax Number:
215-453-8593

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 LAWN AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SELLERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18960-0902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-453-4265
Provider Business Practice Location Address Fax Number:
215-453-8593
Provider Enumeration Date:
05/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ANDERSON
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
215-453-4120

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  705105 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0002926000 . This is a "IBC MOTHER'S OPTION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1039950 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1001257410017 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0007571000 . This is a "BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2439250 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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