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Organization Active NPI

Mercy Catholic Medical Center of Southeastern PA

Doing business as Mercy Philadelphia Hospital Drug&Alcohol Clinic

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1043350168
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Doing business as
Mercy Philadelphia Hospital Drug&Alcohol Clinic
Practice address
501 S 54TH St
Philadelphia, PA 19143-1900
Phone
(215) 748-9000
NPI assigned
Feb 7, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Douglas C. Smith
Title
Assistant to Vice President
Phone
(610) 567-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

501 S 54TH St
Philadelphia, PA 19143-1900

Mailing address

1 W Elm St
Suite 100
Conshohocken, PA 19428-2007
Phone (610) 567-6000

Other names 1

  • Mercy Philadelphia Hospital Drug&Alcohol Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Misericordia Div MCMC19 organizations share this tax ID, including this one
Part of
Misericordia Div MCMC

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1043350168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282007",
            "telephone_number": "610-567-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ASSISTANT TO VICE PRESIDENT",
        "authorized_official_telephone_number": "610-567-6601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Philadelphia Hospital Drug&Alcohol Clinic",
            "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 Jun 12, 2008; 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.