Organization
MAIN LINE HOSPITALS, INC.
Active
Other names
Paoli Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH EHRLICH (CHIEF FINANCIAL OFFICER)
(484) 337-2029
Entity
Organization
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 648-1000
Mailing address
240 N RADNOR CHESTER RD, RADNOR, PA 19087-5170
(484) 337-1814
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
161801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000899205
—
DE
01
—
0001107000
AMERIHEALTH
—
01
—
0001452
AETNA
—
05
—
000162588X
—
GA
05
—
003035466
—
CT
01
—
00545046-02
AMERICHOICE MEDICARE
—
05
—
00739235
—
NY
05
—
013745600
—
MD
05
—
019182700
—
DC
01
—
0520842
CIGNA
—
01
—
08310
HEALTH PARTNERS
—
05
—
100727794
—
PA
05
—
1007354280036
—
PA
01
—
1024887
AETNA HMO & MEDICARE CAP
—
01
—
258208
MAMSI/ALLIANCE PPO
—
05
—
4195400
—
NJ
01
—
60039
KEYSTONE MERCY
PA
05
—
912945600
—
FL
Enumeration date
08/20/2006
Last updated
09/12/2024
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