NPIMap

Mercy Catholic Medical Center of Southeastern PA

Organization Active NPI Clinic/Center · Philadelphia, PA

NPI 1043350168 · NPPES record last updated Jun 12, 2008

Key facts

NPI
1043350168
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Practice address
501 S 54TH St
Philadelphia, PA 19143-1900
Phone
(215) 748-9000
NPI assigned
Feb 7, 2007
Organization subpart
Yes
Parent organization (as reported)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA

Authorized official

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

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Psychiatry Mercy Cath M (19 organizations share this tax ID)
Part of
Psychiatry Mercy Cath M

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

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

  • Mercy Philadelphia Hospital Drug&Alcohol Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2008.

{
    "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

All providers in Philadelphia, PA · Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.