Organization
GRAND VIEW MEDICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY RAY WUERSTLE (DIRECTOR)
(215) 453-4604
Entity
Organization
Contact information
Practice address
700 LAWN AVE, SELLERSVILLE, PA 18960-1548
(215) 453-4700
Mailing address
PO BOX 420, SOUDERTON, PA 18960
(215) 453-4700
(215) 453-4758
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000115000
KEYSTONE HEALTH PLAN EAST
PA
05
—
1007276130001
—
PA
01
—
1032369
AMERIHEALTH MERCY ID
PA
01
—
5499634
AETNA PROV ID EL PASO
PA
Enumeration date
04/09/2008
Last updated
04/10/2008
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