NPIMap

Organization Active NPI

Main Line Hospitals, Inc.

Doing business as Paoli Hospital

  • General Acute Care Hospital
  • Paoli, PA
National Provider Identifier
1215042114
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
161801 Issued in PA
Legal business name
MAIN LINE HOSPITALS, INC.
Doing business as
Paoli Hospital
Practice address
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone
(610) 648-1000
NPI assigned
Aug 20, 2006
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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
General Acute Care Hospital 282N00000X 161801 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave
Paoli, PA 19301-1763

Mailing address

240 N Radnor Chester Rd
Radnor, PA 19087-5170
Phone (484) 337-1814

Other identifiers 19

IdentifierTypeStateIssuer
0001452OtherAETNA
019182700MedicaidDC
100727794MedicaidPA
258208OtherMAMSI/ALLIANCE PPO
003035466MedicaidCT
912945600MedicaidFL
0000899205MedicaidDE
0001107000OtherAMERIHEALTH
000162588XMedicaidGA
013745600MedicaidMD
0520842OtherCIGNA
08310OtherHEALTH PARTNERS
1007354280036MedicaidPA
0001107000OtherINDEPENDENCE BLUE CROSS
00739235MedicaidNY
60039OtherPAKEYSTONE MERCY
4195400MedicaidNJ
00545046-02OtherAMERICHOICE MEDICARE
1024887OtherAETNA HMO & MEDICARE CAP

Other names 1

  • Paoli Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000473 PA Part A Provider - Hospital 0648168955 Practice locations: Paoli, PA; King of Prussia, PA; Exton, PA; Collegeville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215042114. Details of each certification follow.

Hospital certification: CCN 390153

Legal name
MAIN LINE HOSPITALS, INC.
Doing business as
PAOLI HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 25, 2025
Beds
261 (224 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1996 in PA
Enrollment address
255 W Lancaster Ave
Paoli Hospital
Paoli, PA 19301-1792
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Paoli HospitalCCN 390153 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1101929Uro GYN Assoc of Phil Paoli Hosp255 W Lancaster Ave, Paoli, PA 19301Provider-performed microscopyJul 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Radiology Bryn Mawr Hos14 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

2020 Sutter Pl
Ste 106
Davis, CA 95616

120 Valley Green Ln
Ste 510
King of Prussia, PA 19406
Phone (484) 324-7100

Ownership & related parties

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bradford S Koles Individual Corporate Director Jul 1, 2022
Nicole L Levine Individual Corporate Director Jul 1, 2025
Edward Jimenez Individual Corporate OfficerPresident and Ceo Jun 6, 2025
W-2 Managing EmployeePresident and Ceo May 22, 2025
Dalila L Wilson-Scott Individual Corporate Director Jul 1, 2022
Angela Meoli Individual Corporate Director Jul 1, 2024
Della C Payne Individual Corporate OfficerCorporate Secratary Nov 1, 2024
W-2 Managing EmployeeSr VP, General Counsel Nov 1, 1999
Andrew J Pennoni Individual Corporate Director Jul 1, 2025
Elizabeth Balderston Individual Corporate DirectorBoard Member Jul 1, 2010
Donna Havens Individual Corporate Director Jul 1, 2020
Andrea Anania Individual Corporate Director Jul 1, 2016
Yonathan Kebede Individual Corporate OfficerPresident - Paoli Hospital Jan 1, 2025
W-2 Managing EmployeeAd; Jun 1, 2021
Cheryl a Koch Individual Corporate Director Jul 1, 2019
Lori Reiner Individual Corporate Director Jul 1, 2025
William Stulginsky Individual Corporate Director Jul 1, 2023
Steven Higgins Individual Corporate Director Jul 1, 2022
Christopher Lee Bruner Individual Corporate Director Jul 1, 2017
John T Schwarz Individual Corporate Officer Jan 1, 2021
W-2 Managing Employee Nov 1, 2013
Benjamin Richer Individual Corporate Director Jul 1, 2024
Robert W Frederick Individual Corporate Director Jul 1, 2018
Bharti Asnani Individual Corporate Director Jul 1, 2025
Deebeanne M. Tavani Individual Corporate Director Jul 1, 2021
Ellen Rinaldi Individual Corporate Director Jul 1, 2016
Barbara Gaspare Individual Corporate Director Jul 1, 2018
Main Line Health, Inc. Organization, Bryn Mawr, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1985 100%
Ernest Gillan Individual Corporate Director Jul 1, 2018
Darrell Keith Giles Individual Corporate Director Jul 1, 2023
Leigh Ehrlich Individual Corporate OfficerTreasurer Jan 1, 2024
W-2 Managing EmployeeExecutive VP / Cfo Dec 1, 2023
Laura Nichtberger Individual Corporate Director Jul 1, 2023
Hope D'Oyley-Gay Individual Corporate Director Jul 1, 2024
Mary Beth Kingston Individual Corporate Director Jul 1, 2022
Colleen Arnold Individual Corporate Director Jul 1, 2025
Peter Havens Individual Corporate DirectorBoard Member Jul 1, 2010
Cheryl Straup Individual Corporate OfficerChief Compliance & Privacy Officer Nov 6, 2023
Rosadele Plumari Individual Corporate OfficerVP / Executive Director BMRH Oct 4, 2025
W-2 Managing EmployeeAd; Jan 1, 1992
David Burcavage Individual Corporate Director Jul 1, 2025

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

Affiliated clinicians 1,653

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,653

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1215042114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N RADNOR CHESTER RD",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875170",
            "telephone_number": "484-337-1814"
        },
        {
            "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": "2006-08-20",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "161801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0001452",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019182700",
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        },
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            "identifier": "100727794",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ALLIANCE PPO",
            "identifier": "258208",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003035466",
            "state": "CT"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "912945600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000899205",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0001107000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000162588X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013745600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0520842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "08310",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007354280036",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0001107000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00739235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "60039",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4195400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICARE",
            "identifier": "00545046-02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO & MEDICARE CAP",
            "identifier": "1024887",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paoli Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paoli Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.