Provider Demographics
NPI:1114549722
Name:GRAND VIEW HOSPITAL
Entity Type:Organization
Organization Name:GRAND VIEW HOSPITAL
Other - Org Name:GRAND VIEW HEALTH PHYSIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-453-4000
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-0358
Mailing Address - Country:US
Mailing Address - Phone:215-257-3700
Mailing Address - Fax:215-257-0360
Practice Address - Street 1:915 LAWN AVE
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1551
Practice Address - Country:US
Practice Address - Phone:215-257-3700
Practice Address - Fax:215-257-0360
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRAND VIEW HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-18
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty