Organization Active NPI

Jennersville Hospital, LLC

Doing business as Jennersville Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • West Grove, PA
National Provider Identifier
1457879538
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
JENNERSVILLE HOSPITAL, LLC
Doing business as
Jennersville Hospital
Practice address
1015 W Baltimore Pike
West Grove, PA 19390-9459
Phone
(610) 869-1000
NPI assigned
Sep 8, 2017
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

1015 W Baltimore Pike
West Grove, PA 19390-9459

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other names 1

  • Jennersville Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

1011 W Baltimore Pike
Ste 308
West Grove, PA 19390
Phone (610) 869-1210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1457879538",
    "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": "610-869-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNERSVILLE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennersville Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Grove, PA

Sources for this page

  • 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.