Healthcare Provider Details

I. General information

NPI: 1063196509
Provider Name (Legal Business Name): GRAND VIEW HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 08/30/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 LIFE MARK DR
SELLERSVILLE PA
18960-1598
US

IV. Provider business mailing address

PO BOX 1111
HARLEYSVILLE PA
19438-0907
US

V. Phone/Fax

Practice location:
  • Phone: 215-257-1127
  • Fax: 215-257-0129
Mailing address:
  • Phone: 215-453-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR ANDERSON
Title or Position: CFO
Credential:
Phone: 215-453-4120