NPIMap

Organization Active NPI

Mercy Catholic Medical Ctr of Southeastern PA

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1013350883
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY CATHOLIC MEDICAL CTR OF SOUTHEASTERN PA
Practice address
501 S 54TH Street
Philadelphia, PA 19143-1916
Phone
(610) 567-6000
Fax
(610) 271-9371
NPI assigned
Apr 11, 2013
Organization subpart
Yes
Parent organization
MERCY CATHOLIC MEDICAL CTR OF SOUTHEASTERN PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph H Bradley
Title
Cfo, Sr. VP
Phone
(610) 567-6771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

501 S 54TH Street
Philadelphia, PA 19143-1916

Mailing address

1 W Elm St Ste 100
Conshohocken, PA 19428-4108
Phone (610) 567-6000

Other identifiers 1

IdentifierTypeStateIssuer
100730682MedicaidPA

Other names 1

  • Mercy Philadelphia Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry Mercy Cath M19 organizations share this tax ID, including this one
Part of
Psychiatry Mercy Cath M

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1013350883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431916",
            "telephone_number": "610-567-6000",
            "fax_number": "610-271-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CATHOLIC MEDICAL CTR OF SOUTHEASTERN PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CATHOLIC MEDICAL CTR OF SOUTHEASTERN PA",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO, SR. VP",
        "authorized_official_telephone_number": "610-567-6771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730682",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Philadelphia Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.