Provider Demographics
NPI:1528026671
Name:VALLEY FORGE MEDICAL CENTER & HOSPITAL, INC.
Entity Type:Organization
Organization Name:VALLEY FORGE MEDICAL CENTER & HOSPITAL, INC.
Other - Org Name:VALLEY FORGE MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SLOCUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-539-8500
Mailing Address - Street 1:1033 W GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3905
Mailing Address - Country:US
Mailing Address - Phone:610-539-8500
Mailing Address - Fax:610-539-0910
Practice Address - Street 1:1033 W GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-3905
Practice Address - Country:US
Practice Address - Phone:610-539-8500
Practice Address - Fax:610-539-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA220201282N00000X
324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100735203Medicaid
PA220201OtherPA LICENSE - HOSPITAL
PA465121OtherPA LICENSE - NON HOSPITAL
PA220201OtherPA LICENSE - HOSPITAL