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Organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Active
Organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Active
Parent organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Other names
Mercy Philadelphia Hospital - Psychiatric
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Authorized official
MR. JOSEPH H BRADLEY (CFO)
(610) 567-6771
Entity
Organization
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9000
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6000
(610) 567-6633
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001023000
MAGELLAN
PA
01
—
08378
HEALTHPARTNERS
PA
01
—
1007306820043
MEDICAL ASSISTANCE
PA
01
—
1007306820048
CBH
PA
01
—
1007306820068
MEDICAL ASSISTANCE
PA
01
—
1007306820070
CBH
PA
01
—
10073068200861
CBH
PA
01
—
1007306820090
MEDICAL ASSISTANCE
PA
01
—
1007306820097
MEDICAL ASSISTANCE
PA
01
—
117234
HRM
PA
01
—
24
ELDERHEALTH
PA
01
—
39S156
MEDICARE ID TYPE UNSPECIFIED
PA
01
—
60002
KMHP
PA
01
—
76233301
AMERICHOICE
PA
01
—
76233302
AMERICHOICE
PA
01
—
PA111
QUALMED
PA
Enumeration date
06/03/2006
Last updated
11/05/2009
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