Organization
ST MARY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNE SPALLUCCI (THMA REGIONAL CFO)
(215) 710-4704
Entity
Organization
Contact information
Practice address
1201 LANGHORNE-NEWTOWN RD, LANGHORNE, PA 19047-1295
(215) 710-2000
Mailing address
1201 LANGHORNE-NEWTOWN RD, LANGHORNE, PA 19047-1295
(215) 710-2000
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
710201
PA
282N00000X
General Acute Care Hospital
Primary
710201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001153000
INDEPENDENCE BLUE CROSS
PA
01
—
0546204
AETNA
PA
05
—
1007731420004
—
PA
01
—
390258
KEYSTONE HEALTH PLAN
PA
01
—
60048
KEYSTONE MERCY HEALTH PLA
PA
Enumeration date
06/01/2005
Last updated
06/02/2025
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