Organization · Type 2 NPI

Mercy Catholic Medical Center of Southeastern PA

Clinic/Center · Philadelphia, PA

NPI number 1043350168 Active

Practice location

501 S 54th St
Philadelphia, PA 19143-1900

Call (215) 748-9000 Map

Mailing address

1 W Elm St, Suite 100
Conshohocken, PA 19428-2007

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).

131 other providers at this address

Other clinic/center providers in Philadelphia

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NPI record

NPI: 1043350168
Entity type: Organization (Type 2)
Issued: Feb 7, 2007
Last updated: Jun 12, 2008
Status: Active
Subpart: Yes of Mercy Catholic Medical Center of Southeastern PA

Other names

<unavail>
Mercy Philadelphia Hospital Drug&alcohol Clinic · doing business as

Authorized official

Mr. Douglas C. Smith
Assistant To Vice President
(610) 567-6601

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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 1043350168

Mercy Catholic Medical Center of Southeastern PA's National Provider Identifier is 1043350168, issued on Feb 7, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 12, 2008.