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Organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Active
Organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS HILKER (V.P. FINANCE)
(610) 567-6967
Entity
Organization
Contact information
Practice address
1503 LANSDOWNE AVENUE, SUITE 2000, PHILADELPHIA, PA 19143-1900
(610) 237-3646
(610) 237-4261
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-4108
(610) 567-6967
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114720000
KHPE
PA
01
—
025024
HEALTHPARTNERS
PA
01
—
30001873
KMHP
PA
01
—
372921
HIGHMARK BLUE SHIELD
PA
01
—
G0006731
AMERICHOICE
PA
01
—
G0007408
AMERICHOICE
PA
Enumeration date
11/14/2005
Last updated
01/30/2018
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