Organization
MERAKEY PHILADELPHIA
Active
Other names
NHS Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS)
(215) 836-3131
Entity
Organization
Contact information
Practice address
235 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3845
(215) 836-3131
(215) 273-5975
Mailing address
620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1810
(215) 836-3131
(215) 273-5975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8888888888888
MEDICAID MCO NUMBER
PA
Enumeration date
05/21/2008
Last updated
01/26/2024
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