Organization
WEST GROVE HOSPITAL CORPORATION
Active
Parent organization
WEST GROVE HOSPITAL CORPORATION
Other names
JENNERSVILLE REGIONAL HOSPITAL HOSPICE
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
251G00000X
Community Based Hospice Care Agency
Primary
159499
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003408000
BLUE CROSS
PA
05
—
1007312400001
—
PA
01
—
1152927
KEYSTONE MERCY HTH PLAN
PA
Enumeration date
09/15/2005
Last updated
01/14/2008
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