| Hall-mercer Cmh-mrc Of Pa Hosp | |
|
3101 Market St Phila PA 19104-2807 | |
| (215) 349-5150 | |
| (215) 615-0432 |
| Full Name | Hall-mercer Cmh-mrc Of Pa Hosp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3101 Market St, Phila, Pennsylvania |
| Authorized Official Name and Position | Thomas Mccormick (ASSISTANT VICE PRESIDENT) |
| Authorized Official Contact | 2156622709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hall-mercer Cmh-mrc Of Pa Hosp 245 S 8th St Phila PA 19106-3520 Ph: (215) 349-5150 | Hall-mercer Cmh-mrc Of Pa Hosp 3101 Market St Phila PA 19104-2807 Ph: (215) 349-5150 |
| NPI Number | 1649323932 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649323932 | NPI | - | NPPES |
| 1000049150026 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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