Organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Active
Parent organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Other names
Mercy Philadelphia Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Authorized official
MR. JOSEPH H BRADLEY (CFO)
(610) 567-6771
Entity
Organization
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9000
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6000
(610) 567-6611
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001023000
IBC
PA
01
—
0001449
AETNA
PA
01
—
08378
HEALTH PARTNERS
PA
05
—
100730682
—
PA
01
—
390156
MEDICARE ID TYPE UNSPECIFIED
PA
01
—
60002
KMHP
PA
01
—
76233301
AMERICHOICE
PA
Enumeration date
09/08/2005
Last updated
11/05/2009
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