Provider Demographics
NPI:1790731057
Name:GRAND VIEW HOSPITAL
Entity Type:Organization
Organization Name:GRAND VIEW HOSPITAL
Other - Org Name:GRAND VIEW HOSPITAL MEDICAL PRACTICES QUAKERTOWN
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:215-453-4995
Mailing Address - Fax:215-453-4646
Practice Address - Street 1:99 N WEST END BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1272
Practice Address - Country:US
Practice Address - Phone:215-538-0202
Practice Address - Fax:215-538-9580
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRAND VIEW HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-26
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005514OtherAETNA
PA0521953000OtherBLUE SHIELD PERSONAL CHOICE
PA386330OtherHIGHMARK BLUE SHIELD
PA0521953001OtherKEYSTONE HEALTH PLAN EAST
PA1026086OtherKEYSTONE MERCY
PA1001257410040Medicaid
PA0521953001OtherKEYSTONE HEALTH PLAN EAST
PA0521953001OtherKEYSTONE HEALTH PLAN EAST
PA1026086OtherKEYSTONE MERCY