NPIMap

Organization Active NPI

Main Line Hospitals, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Broomall, PA
National Provider Identifier
1275660656
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
110260 Issued in PA
Legal business name
MAIN LINE HOSPITALS, INC.
Practice address
600 Abbott Dr
Broomall, PA 19008-4317
Phone
(888) 227-3898
NPI assigned
Feb 27, 2007
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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 110260 PA Primary

Addresses

Primary practice location

600 Abbott Dr
Broomall, PA 19008-4317

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
0001101000OtherIBC - ADTC
1007354280017MedicaidPA
0001443OtherADTC AETNA NON HMO
390139OtherADTC AMERIHEALTH

Other names 1

  • AMerican Day Treatment Center - Drexel Hill Other name

National Provider Directory

National Provider Directory
Tax ID family
Bryn Mawr Hosp Lab14 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

600 Abbott Dr
Broomall, PA 19008
Phone (484) 476-1800

401 Pilgrim Ln
Ste 100
Drexel Hill, PA 19026
Phone (610) 566-5029

240 N Radnor Chester Rd
Wayne, PA 19087
Phone (484) 580-1200

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1275660656",
    "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": "600 ABBOTT DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084317",
            "telephone_number": "888-227-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HOSPITALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "110260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - ADTC",
            "identifier": "0001101000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007354280017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADTC AETNA NON HMO",
            "identifier": "0001443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADTC AMERIHEALTH",
            "identifier": "390139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMerican Day Treatment Center - Drexel Hill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broomall, 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.