Provider Demographics
NPI:1376583435
Name:GRAND VIEW HOSPITAL
Entity type:Organization
Organization Name:GRAND VIEW HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 5827
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-5827
Mailing Address - Country:US
Mailing Address - Phone:610-376-2007
Mailing Address - Fax:610-376-2488
Practice Address - Street 1:700 LAWN AVENUE
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1548
Practice Address - Country:US
Practice Address - Phone:215-453-4222
Practice Address - Fax:215-453-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03295341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5499634OtherAETNA PROV ID EL PASO
PA590005107OtherRR MEDICARE
PA1032369OtherKEYSTONE MERCY ID
PA0000115000OtherKEYSTONE HEALTH PLAN EAST
PA1032369OtherAMERIHEALTH MERCY ID
PA200341Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID
PA590005107Medicare Oscar/Certification