Organization
MAIN LINE HOSPITALS, INC.
Active
Organization
MAIN LINE HOSPITALS, INC.
Active
Other names
Bryn Mawr Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH EHRLICH (CHIEF FINANCIAL OFFICER)
(484) 337-2029
Entity
Organization
Contact information
Practice address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(484) 596-5400
Mailing address
240 N RADNOR CHESTER RD, RADNOR, PA 19087-5170
(484) 337-1816
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
540201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000066905
—
DE
01
—
0001063000
KEYSTONE 65
PA
01
—
0001063000
AMERIHEALTH
—
01
—
0001121
AETNA
—
01
—
00557261-01
AMERICHOICE-MEDICARE
—
01
—
0078104301
AMERICHOICE HMA
—
05
—
01136121
—
NY
01
—
0524895
CIGNA
PA
01
—
08382
HEALTH PARTNERS
—
05
—
1007354280038
—
PA
05
—
100770006
—
PA
05
—
17000060
—
MD
01
—
258209
MAMSI/ALLIANCE PPO
—
05
—
4205707
—
NJ
01
—
60088
KEYSTONE MERCY
—
01
—
P00838
CHAMPUS TRICARE NORTH REG
—
Enumeration date
08/20/2006
Last updated
09/12/2024
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