NPIMap

Organization Active NPI

Main Line Hospitals, Inc.

  • Ambulatory Surgical Clinic/Center
  • Paoli, PA
National Provider Identifier
1154458909
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
161801 Issued in PA
Legal business name
MAIN LINE HOSPITALS, INC.
Practice address
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone
(610) 648-1000
NPI assigned
Feb 28, 2007
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Leigh Ehrlich
Title
Chief Financial Officer
Phone
(484) 337-2029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 161801 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave
Paoli, PA 19301-1763

Mailing address

240 N Radnor Chester Rd Ste 110
Radnor, PA 19087-5174
Phone (610) 526-8480

Other identifiers 1

IdentifierTypeStateIssuer
1007277940010MedicaidPA

Other names 1

  • Paoli Hospital - ASC Other name

National Provider Directory

National Provider Directory
Tax ID family
Bryn Mawr Hosp Dept of14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

240 N Radnor Chester Rd
Ste 110
Radnor, PA 19087

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1154458909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N RADNOR CHESTER RD STE 110",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875174",
            "telephone_number": "610-526-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-648-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HOSPITALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "484-337-2029"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "161801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007277940010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paoli Hospital - ASC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.