Active NPI
Grand View Hospital
- Family Medicine Physician
- Harleysville, PA
National Provider Identifier
1760682199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001257410034 | Medicaid | PA | |
| 2853950000 | Other | PA | BLUE SHIELD PERSONAL CHOICE |
| 7730556 | Other | PA | AETNA |
| 1972921 | Other | PA | HIGHMARK BLUE SHIELD |
| 2853950001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
Other names 1
- Grand View Hospital Medical Practices Lederach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Grand View Home Care | 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 Hospice | 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.
-
- Family Medicine Physician
- Harleysville, PA
- NPI 1093330060
-
- Family Nurse Practitioner
- Harleysville, PA
- NPI 1578746905
-
- Family Medicine Physician
- Harleysville, PA
- NPI 1114962800
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.