Organization Active NPI

Mercy Suburban Hospital

  • General Acute Care Hospital
  • Norristown, PA
National Provider Identifier
1225022064
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MERCY SUBURBAN HOSPITAL
Practice address
2701 Dekalb Street
Norristown, PA 19401
Phone
(610) 278-2000
NPI assigned
Sep 8, 2005
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH SYSTEM OF SOUTHEASTERN PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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
Phone
(610) 567-6771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

2701 Dekalb Street
Norristown, PA 19401

Mailing address

One West Elm St
Suite 200
Conshohocken, PA 19428
Phone (610) 567-6000

Other identifiers 7

IdentifierTypeStateIssuer
0001333OtherPAAETNA
08300OtherPAHEALTH PARTNERS
100727702MedicaidPA
0001108000OtherPAKEYSTONE EAST
70006OtherPAKMHP
0001108000OtherPAIBC
X000404301OtherPAAMERICHOICE

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services-Suburban Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1045 S Broad St
Bldg D
Lansdale, PA 19446
Phone (215) 393-7179

2000 N Broad St
Lansdale, PA 19446
Phone (215) 361-2500

1541 Powell St
Norristown, PA 19401
Phone (610) 278-2500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1225022064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WEST ELM ST",
            "address_2": "SUITE 200",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "610-567-6000",
            "fax_number": "610-567-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB STREET",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-278-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SUBURBAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH SYSTEM OF SOUTHEASTERN PA",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-567-6771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0001333",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "08300",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100727702",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0001108000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP",
            "identifier": "70006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0001108000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "X000404301",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.