Organization
HALL-MERCER CMH-MRC OF PENNSYLVANIA HOSP
Active
Parent organization
PENNSYLVANIA HOSPITAL OF THE UNIV OF PA HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENNSYLVANIA HOSPITAL OF THE UNIV OF PA HEALTH SYSTEM
Authorized official
MR. THOMAS MCCORMICK (MANAGING DIRECTOR)
(215) 796-4640
Entity
Organization
Contact information
Practice address
245 S 8TH ST, PHILADELPHIA, PA 19106-3520
(215) 796-4640
(609) 770-7792
Mailing address
245 S 8TH ST, PHILA, PA 19106-3520
(215) 796-4640
(609) 770-7792
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000049150013
—
PA
Enumeration date
01/18/2007
Last updated
02/09/2024
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