Mercy Management Of Southeastern Pennsylvania in Conshohocken - General Practice
Mercy Management Of Southeastern Pennsylvania - NPI 1396721494
Mercy Management Of Southeastern Pennsylvania is a General Practice in Conshohocken, Pennsylvania. Mercy Management Of Southeastern Pennsylvania practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mercy Management Of Southeastern Pennsylvania is 1396721494. The last update date is 2008-05-08.
Mercy Management Of Southeastern Pennsylvania's current location address is 1 W Elm St, Conshohocken, Pennsylvania. You can contact this provider via phone number 6105676964 and fax number 6105676170. The mailing address for Mercy Management Of Southeastern Pennsylvania is 1 W Elm St, Conshohocken, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercy Management Of Southeastern Pennsylvania |
|---|---|
| Address | 1 W Elm St, Conshohocken, Pennsylvania |
| Phone Number | 6105676964 |
| Fax Number | 6105676170 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP FINANCI |
|---|---|
| Authorized Official Name | Smith C Douglas |
| Telephone Number | 6105676964 |
NPI Number Detail
| NPI Number | 1396721494 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 1 W Elm St |
|---|---|
| City | Conshohocken |
| State | Pennsylvania (PA) |
| Post Code | 194282007 |
| Phone Number | 6105676964 |
| Fax Number | 6105676170 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100778793 0157 | PA | -- | |
| 1543646 | PA | BLUE SHIELD COMP | |
| 1543646 | PA | BLUE SHIELD PA PR | |
| 1543648 | PA | AMERIHEALTH ADMIN | |
| 2228313000 | PA | AMERIHEALTH DELAWARE | |
| 2228313000 | PA | BLUE SHIELD LLIN | |
| 33695 | PA | HEALTH PARTNERS SENIOR | |
| 1543646 | PA | BLUE SHIELD | |
| 2228313000 | PA | KEYSTONE 65 SPECIAL | |
| 2507496 | PA | AETNA MEDICARE HMO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mercy Management Of Southeastern Pennsylvania by the Centers for Medicare & Medicaid Services?
The Mercy Management Of Southeastern Pennsylvania has been issued the NPI (National Provider Identifier) 1396721494, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mercy Management Of Southeastern Pennsylvania is located?
The Mercy Management Of Southeastern Pennsylvania is situated at the following address: 1 W Elm St, Conshohocken, PA, 194282007.
What is the Mercy Management Of Southeastern Pennsylvania's specialty and taxonomy code?
The Mercy Management Of Southeastern Pennsylvania's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396721494 to Mercy Management Of Southeastern Pennsylvania?
The Centers for Medicare & Medicaid Services originally issued the 1396721494 to Mercy Management Of Southeastern Pennsylvania on 2005-12-20.
As of what date were the Mercy Management Of Southeastern Pennsylvania's details last updated?
The information pertaining to the Mercy Management Of Southeastern Pennsylvania, including its address, specialty, and other details, was most recently updated on 2008-05-08.
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