Provider Demographics
NPI:1639680317
Name:GRAND VIEW URGENT CARE
Entity Type:Organization
Organization Name:GRAND VIEW URGENT CARE
Other - Org Name:GRAND VIEW URGENT CARE CHALFONT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-453-4942
Mailing Address - Street 1:700 HORIZON CIRCLE SUITE 101
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-453-5610
Mailing Address - Fax:215-453-4012
Practice Address - Street 1:700 HORIZON CIR
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3906
Practice Address - Country:US
Practice Address - Phone:215-453-5610
Practice Address - Fax:215-453-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2172249OtherPK