Healthcare Provider Details
I. General information
NPI: 1821286097
Provider Name (Legal Business Name): GRAND VIEW HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2007
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
915 LAWN AVE SUITE 203
SELLERSVILLE PA
18960-1551
US
IV. Provider business mailing address
PO BOX 1111
HARLEYSVILLE PA
19438-0907
US
V. Phone/Fax
- Phone: 215-453-3400
- Fax: 215-453-3410
- Phone: 215-453-4995
- Fax: 215-453-4646
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086X0206X |
| Taxonomy | Surgical Oncology Physician |
| License Number | |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: MR.
ARTHUR
ANDERSON
Title or Position: CFO
Credential: CFO
Phone: 215-453-4000