Provider Demographics
NPI:1205009388
Name:GRAND VIEW HOSPITAL
Entity Type:Organization
Organization Name:GRAND VIEW HOSPITAL
Other - Org Name:PENNRIDGE SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-453-4120
Mailing Address - Street 1:PO BOX 1111
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-0907
Mailing Address - Country:US
Mailing Address - Phone:215-257-3697
Mailing Address - Fax:215-453-3410
Practice Address - Street 1:915 LAWN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1551
Practice Address - Country:US
Practice Address - Phone:215-257-3697
Practice Address - Fax:215-453-3410
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRAND VIEW HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5791309OtherAETNA
PA2046010OtherHIGHMARK BLUE SHIELD
PA30051890OtherKEYSTONE MERCY
PA1001257410046Medicaid
PA=========027OtherTRICARE STANDARD
PA130058Medicare PIN