Organization
WEST GROVE HOSPITAL CORPORATION
Active
Other names
Jennersville Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
GARY NEWSOME (PRESIDENT GROUP OPERATIONS)
(615) 465-7000
Entity
Organization
Contact information
Practice address
1015 W BALTIMORE PIKE, WEST GROVE, PA 19390-9459
(615) 467-7871
Mailing address
PO BOX 503773, SAINT LOUIS, MO 63150-0001
(615) 467-7871
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
291501
PA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
291501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007550910012
—
PA
Enumeration date
05/23/2007
Last updated
01/04/2008
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