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Organization
WEST GROVE HOSPITAL CORPORATION
Active
Organization
WEST GROVE HOSPITAL CORPORATION
Active
Parent organization
WEST GROVE HOSPITAL CORPORATION
Other names
JENNERSVILLE REGIONAL HOSPITAL HOME SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST GROVE HOSPITAL CORPORATION
Authorized official
MS. MICHELLE BUONOMO (BILLING COORDINATOR)
(610) 998-1700
Entity
Organization
Contact information
Practice address
121 BELL TOWER LN, OXFORD, PA 19363-1208
(610) 998-1700
(610) 998-1799
Mailing address
121 BELL TOWER LN, OXFORD, PA 19363-1208
(610) 998-1700
(610) 998-1799
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
740005
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000804000
BLUE CROSS PROVIDER #
PA
05
—
1007312400008
—
PA
01
—
1152927
KEYSTONE MERCY HEALTH PLA
PA
01
—
58150671002
TRICARE PROV #
PA
Enumeration date
09/15/2005
Last updated
04/20/2008
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