| Mercy Family Medicine At Collegeville | |
|
305 2nd Ave Suite 210 Collegeville PA 19426-2658 | |
| (610) 489-2721 | |
| (610) 489-1005 |
| Full Name | Mercy Family Medicine At Collegeville |
|---|---|
| Speciality | Family Medicine |
| Location | 305 2nd Ave, Collegeville, Pennsylvania |
| Authorized Official Name and Position | Peter B Kenniff (CFO) |
| Authorized Official Contact | 6105676967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Family Medicine At Collegeville 1 W Elm St Suite 100 Conshohocken PA 19428-2007 Ph: (610) 567-6967 | Mercy Family Medicine At Collegeville 305 2nd Ave Suite 210 Collegeville PA 19426-2658 Ph: (610) 489-2721 |
| NPI Number | 1588657548 |
|---|---|
| Provider Enumeration Date | 08/25/2005 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588657548 | NPI | - | NPPES |
| 0019374 | Other | PA | AUSHC HMO |
| 586245 | Other | PA | HIGHMARK BLUE SHIELD |
| 4646217 | Other | PA | AUSHC PPO |
| 1007594660054 | Medicaid | PA | |
| 022 | Other | PA | TRICARE |
| 0410118005 | Other | PA | KHPE |
| 202264007 | Other | PA | OWCP |
| 482 | Other | PA | AUSHC OFFICE NUMBER |
| 30027057 | Other | PA | KMHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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