Provider Demographics
NPI:1801840038
Name:GRAND VIEW HOSPITAL
Entity Type:Organization
Organization Name:GRAND VIEW HOSPITAL
Other - Org Name:GRAND VIEW HEALTH PRIMARY CARE SOUDERTON
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 1:3456 BETHLEHEM PIKE FL 1
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1051
Practice Address - Country:US
Practice Address - Phone:215-721-6500
Practice Address - Fax:215-721-6505
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRAND VIEW HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-20
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
PA30000403OtherKEYSTONE MERCY
PA0523952000OtherBLUE SHIELD PERSONAL CHOICE
PA386335OtherHIGHMARK BLUE SHIELD
PA0523952001OtherKEYSTONE HEALTH PLAN EAST
PA839447OtherAETNA
PA1001257410021Medicaid
PA0523952001OtherKEYSTONE HEALTH PLAN EAST
PA=========013OtherTRICARE STANDARD
PA022301Medicare PIN