Active NPI
Mercy Catholic Medical Center of Southeastern PA
Doing business as Mercy Philadelphia Hospital
- General Acute Care Hospital
- Philadelphia, PA
National Provider Identifier
1861486698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
- Doing business as
- Mercy Philadelphia Hospital
- Practice address
- 501 S 54TH St
Philadelphia, PA 19143-1900 - Phone
- (215) 748-9000
- NPI assigned
- Sep 8, 2005
- Last updated
- Nov 5, 2009
- Organization subpart
- Yes
- Parent organization
- MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
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 identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001023000 | Other | PA | IBC |
| 390156 | Other | PA | MEDICARE ID TYPE UNSPECIFIED |
| 08378 | Other | PA | HEALTH PARTNERS |
| 0001023000 | Other | PA | KEYSTONE EAST |
| 0001449 | Other | PA | AETNA |
| 100730682 | Medicaid | PA | |
| 60002 | Other | PA | KMHP |
| 76233301 | Other | PA | AMERICHOICE |
Other names 1
- Mercy Philadelphia Hospital
National Provider Directory
National Provider Directory- Part of
- Mercy Catholic Ekg Asso
Practitioners & affiliated clinicians
Practitioners 4
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.
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- Darby, PA
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- Internal Medicine Physician
- Darby, PA
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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": "1257379200000",
"number": "1861486698",
"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",
"fax_number": "610-567-6611"
},
{
"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": "2005-09-08",
"last_updated": "2009-11-05",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0001023000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "390156",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "08378",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0001023000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0001449",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100730682",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KMHP",
"identifier": "60002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "76233301",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Philadelphia Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- Mercy Catholic Medical Center of Southeastern PA (Mercy Philadelphia Hospital Psychiatric Clinic)
- Mercy Catholic Medical Center of Southeastern PA (Mercy Philadelphia Hospital Short Procedure Unit)
- Mercy Catholic Medical Center of Southeastern PA
- Mercy Catholic Medical Center of Southeastern PA (Mercy Philadelphia Hospital Outpatient)
- Mercy Catholic Medical Center of Southeastern PA (Mercy Philadelphia Hospital Residental Addiction Outpatient)
- Mercy Catholic Medical Center of Southeastern PA (Mercy Philadelphia Hospital - Psychiatric)
- Mercy Catholic Medical Ctr of Southeastern PA (Mercy Philadelphia Hospital)
- Mercy Home Health Agency LLC
- Mercy Hospital of Philadelphia
- Mercy Life
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.