Organization
MERCY SUBURBAN HOSPITAL
Active
Parent organization
MERCY HEALTH SYSTEM OF SOUTHEASTERN PA
Other names
Mercy Suburban OB/GYN
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, CONSHOHOCKEN, PA 19428-4108
(610) 567-6000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001108000
INDEPENDENT BLUE CROSS
PA
Enumeration date
03/03/2008
Last updated
10/01/2010
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