Organization
MERCY SUBURBAN HOSPITAL
Active
Parent organization
MERCY HEALTH SYSTEM OF SOUTHEASTERN PA
Other names
Mercy Suburban IP Psych Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH SYSTEM OF SOUTHEASTERN PA
Authorized official
MR. JOSEPH H BRADLEY (CFO)
(610) 567-6771
Entity
Organization
Contact information
Practice address
2701 DEKALB PIKE, NORRISTOWN, PA 19401-1820
(610) 278-2000
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(619) 567-6000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
CBH
PA
01
—
0001108000
MAGELLAN
PA
01
—
08300
SENIOR PARTNERS
PA
01
—
100136
KMHP
PA
01
—
1007277020007
MEDICAL ASSISTANCE
PA
01
—
1007277020018
MEDICAL ASSISTANCE
PA
01
—
1108
BLUE CROSS
PA
01
—
111187
HRM
PA
01
—
1333
USHC MEDICARE
PA
01
—
1Y0133
PHS
PA
01
—
31067
KMHP
PA
01
—
56
ELDERHEALTH
PA
01
—
70006
KMHP
PA
01
—
X000404301
AMERICHOICE MEDICARE
PA
Enumeration date
06/09/2006
Last updated
10/01/2010
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