# MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
- **Other names:** Mercy Philadelphia Hospital Short Procedure Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083754352
- **Legal business name:** MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
- **Authorized official:** MR. DOUGLAS C. SMITH (VICE PRESIDENT)
- **Authorized official phone:** (610) 567-6601

## Contact information

- **Practice address:** 501 S 54TH ST, PHILADELPHIA, PA 19143-1900
- **Practice address phone:** (215) 748-9000
- **Mailing address:** 1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
- **Mailing address phone:** (610) 567-6000
- **Mailing address fax:** (610) 567-6633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 06/12/2008