Jennersville Hospital, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JENNERSVILLE HOSPITAL, LLC

Practice address

1015 W Baltimore Pike
West Grove, PA 19390-9459

Phone

(615) 467-7871

NPI assigned

Sep 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Conner

Title

VP & Cfo

Phone

(484) 628-1324

Specialties & licenses 2

Addresses

Other names 1

• Jennersville Hospital Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1699/brand/1/csg/27/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1326567801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W BALTIMORE PIKE",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909459",
            "telephone_number": "615-467-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNERSVILLE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "484-628-1324"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennersville Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorrana Lin Jacobetz, RBT
• Sharon Jarrett, C.R.F.N.P.
• Jenner'S Pond Inc.
• Jennersville Family Dentistry
• Jennersville Family Medicine LLC
• Jennersville Hospital, LLC
• Jennersville Hospital, LLC
• Jennersville Medical Associates, PC
• Jennersville Open MRI and Imaging Center, LLC
• Jennersville Radiology, P.C

• Ambulatory Surgical Clinic/Center in West Grove, PA
• Providers in West Grove, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.