Healthcare Provider Details

I. General information

NPI: 1609827773
Provider Name (Legal Business Name): GRAND VIEW EMERGENCY MEDICINE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 LAWN AVE GRAND VIEW HOSPITAL EMERG DEPT
SELLERSVILLE PA
18960-1548
US

IV. Provider business mailing address

P.O. BOX 13700-1432 GRAND VIEW EMERGENCY MEDICINE
PHILADELPHIA PA
19191-0001
US

V. Phone/Fax

Practice location:
  • Phone: 215-453-4486
  • Fax: 215-453-4012
Mailing address:
  • Phone: 610-668-6491
  • Fax: 610-617-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT ALAN SLAGEL
Title or Position: DIRECTOR
Credential: MD
Phone: 215-453-4485