Healthcare Provider Details

I. General information

NPI: 1639680317
Provider Name (Legal Business Name): GRAND VIEW URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2017
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HORIZON CIR
CHALFONT PA
18914-3906
US

IV. Provider business mailing address

700 HORIZON CIRCLE SUITE 101
CHALFONT PA
18901
US

V. Phone/Fax

Practice location:
  • Phone: 215-453-5610
  • Fax: 215-453-4012
Mailing address:
  • Phone: 215-453-5610
  • Fax: 215-453-4012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE HOWENSTEIN
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 215-453-4942