Organization
HALL-MERCER CMH-MRH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK (ASSOCIATE VICE PRESIDENT OF FINANCE)
(215) 762-0888
Entity
Organization
Contact information
Practice address
245 S 8TH ST, PHILA, PA 19106-3520
(215) 762-0630
(215) 762-0754
Mailing address
1500 MARKET ST, UPPER MEZZANINE 600, PHILADELPHIA, PA 19102-2100
(215) 762-0630
(215) 762-0754
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000049150028
—
PA
Enumeration date
07/22/2008
Last updated
07/22/2008
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