Organization · Type 2 NPI

Mercy Catholic Medical CTR of Southeastern PA

Clinic/Center · Philadelphia, PA

NPI number 1013350883 Active

Practice location

501 S 54th Street
Philadelphia, PA 19143-1916

Call (610) 567-6000 Map

Fax (610) 271-9371

Mailing address

1 W Elm St Ste 100
Conshohocken, PA 19428-4108

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

Other clinic/center providers in Philadelphia

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NPI record

NPI: 1013350883
Entity type: Organization (Type 2)
Issued: Apr 11, 2013
Last updated: Apr 11, 2013
Status: Active
Subpart: Yes of Mercy Catholic Medical CTR of Southeastern PA

Other names

<unavail>
Mercy Philadelphia Hospital · doing business as

Authorized official

Mr. Joseph H Bradley
CFO, Sr. VP
(610) 567-6771

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013350883

Mercy Catholic Medical CTR of Southeastern PA's National Provider Identifier is 1013350883, issued on Apr 11, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 11, 2013.