MEDICARE: WEST GROVE HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1053374843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST GROVE HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	1011 W BALTIMORE PIKE
Second Line	:	SUITE 112
City	:	WEST GROVE
State	:	PA
Zip	:	19390-9446
Country	:	US
Telephone Number	:	610-869-1565
Fax Number	:	610-869-0156

Provider Business Practice Location Address
First Line	:	1011 W BALTIMORE PIKE
Second Line	:	SUITE 112
City	:	WEST GROVE
State	:	PA
Zip	:	19390-9446
Country	:	US
Telephone Number	:	610-869-1565
Fax Number	:	610-869-0156

Authorized Official
Title or Position	:	GROUP VP
Name	:	GARY DOUGLAS NEWSOME
Credential	:
Telephone Number	:	615-465-7000

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	08/22/2020

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Directions to “WEST GROVE HOSPITAL CORPORATION ” Practice Location

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