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Organization

MERCY SUBURBAN HOSPITAL

Active
Find providers by NPI
Organization

MERCY SUBURBAN HOSPITAL

Active
Other names
Mercy Suburban Family Practice Center
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS C SMITH (V.P., PAT. FINANCIAL SERVICES)
(610) 567-6967
Entity
Organization

Contact information

Practice address
530 CHURCH ST, 2ND FLOOR, NORRISTOWN, PA 19401-4811
(610) 275-7240
(610) 275-1381
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6967
(610) 567-6170

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222562002
KEYSTONE HEALTHPLAN EAST
PA
01
—
100136
KMHP
PA
05
—
1007277020017
—
PA
01
—
202259700
OWCP
PA
01
—
594466
HIGHMARK BLUE SHIELD
PA
01
—
85753
AUSHC CAP NUMBER
PA
01
—
X0004043 01
AMERICHOICE
PA
Enumeration date
10/31/2005
Last updated
10/20/2010
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