Organization Active NPI

Grand View Hospital

  • Family Medicine Physician
  • Harleysville, PA
National Provider Identifier
1760682199
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRAND VIEW HOSPITAL
Practice address
658 Harleysville Pike
Suite 120
Harleysville, PA 19438-2886
Phone
(215) 256-9655
Fax
(215) 256-9868
NPI assigned
Jul 24, 2007
Organization subpart
Yes
Parent organization
GRAND VIEW HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Arthur Anderson
Title
Cfo
Phone
(215) 453-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

658 Harleysville Pike
Suite 120
Harleysville, PA 19438-2886

Mailing address

PO Box 1111
Harleysville, PA 19438-0907
Phone (215) 453-4995

Other identifiers 5

IdentifierTypeStateIssuer
1001257410034MedicaidPA
2853950000OtherPABLUE SHIELD PERSONAL CHOICE
7730556OtherPAAETNA
1972921OtherPAHIGHMARK BLUE SHIELD
2853950001OtherPAKEYSTONE HEALTH PLAN EAST

Other names 1

  • Grand View Hospital Medical Practices Lederach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150715001315 PA Part B Supplier - Clinic/Group Practice 8022001924 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Harleysville, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Grand View Hospital

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grand View Home CareSellersville, PA, CCN 397051B Home health agency 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Security Interest (100%)
Operational/Managerial Control (100%)
Nov 1, 1983
Nov 1, 1983
Nov 1, 1983
Grandview HospiceQuakertown, PA, CCN 391557 Hospice 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Oct 1, 1981
Oct 1, 1981

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1760682199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194380907",
            "telephone_number": "215-453-4995",
            "fax_number": "215-453-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 HARLEYSVILLE PIKE",
            "address_2": "SUITE 120",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382886",
            "telephone_number": "215-256-9655",
            "fax_number": "215-256-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VIEW HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND VIEW HOSPITAL",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-453-4120"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001257410034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PERSONAL CHOICE",
            "identifier": "2853950000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7730556",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1972921",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2853950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand View Hospital Medical Practices Lederach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand View Hospital Medical Practices Lederach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.