Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Active
Parent organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Other names
Mercy Health System MTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Authorized official
DANIEL C ROTH (BILLING)
(717) 464-0724
Entity
Organization
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 237-3616
Mailing address
PO BOX 827176, PHILADELPHIA, PA 19182-7176
(717) 464-0724
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05044
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007787930103
—
PA
01
—
1147955
KEYSTONE MERCY
PA
Enumeration date
11/22/2005
Last updated
05/28/2024
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