Organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Active
Parent organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Other names
Mercy Philadelphia Hospital - Psychiatric
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) 567-6633
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001023000
MAGELLAN
PA
01
—
08378
HEALTHPARTNERS
PA
01
—
1007306820043
MEDICAL ASSISTANCE
PA
01
—
1007306820048
CBH
PA
01
—
1007306820068
MEDICAL ASSISTANCE
PA
01
—
1007306820070
CBH
PA
01
—
10073068200861
CBH
PA
01
—
1007306820090
MEDICAL ASSISTANCE
PA
01
—
1007306820097
MEDICAL ASSISTANCE
PA
01
—
117234
HRM
PA
01
—
24
ELDERHEALTH
PA
01
—
39S156
MEDICARE ID TYPE UNSPECIFIED
PA
01
—
60002
KMHP
PA
01
—
76233301
AMERICHOICE
PA
01
—
76233302
AMERICHOICE
PA
01
—
PA111
QUALMED
PA
Enumeration date
06/03/2006
Last updated
11/05/2009
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