| Mercy Philadelphia Hospital | |
|
501 S 54th Street Philadelphia PA 19143-1916 | |
| (610) 567-6000 | |
| (610) 271-9371 |
| Full Name | Mercy Philadelphia Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 501 S 54th Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joseph H Bradley (CFO, SR. VP) |
| Authorized Official Contact | 6105676771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Philadelphia Hospital 1 W Elm St Ste 100 Conshohocken PA 19428-4108 Ph: (610) 567-6000 | Mercy Philadelphia Hospital 501 S 54th Street Philadelphia PA 19143-1916 Ph: (610) 567-6000 |
| NPI Number | 1013350883 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 04/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013350883 | NPI | - | NPPES |
| 100730682 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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