Healthcare Provider Details

I. General information

NPI: 1114549722
Provider Name (Legal Business Name): GRAND VIEW HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 LAWN AVE
SELLERSVILLE PA
18960-1551
US

IV. Provider business mailing address

PO BOX 358
SOUDERTON PA
18964-0358
US

V. Phone/Fax

Practice location:
  • Phone: 215-257-3700
  • Fax: 215-257-0360
Mailing address:
  • Phone: 215-257-3700
  • Fax: 215-257-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS HUGHES
Title or Position: SR VICE PRESIDENT
Credential:
Phone: 215-453-4000