Basic Information
| Provider Information | |||||||||
| NPI: | 1306149299 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MERCY CATHOLIC MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 774 E PROVIDENCE RD | ||||||||
| Address2: | APPT C-301 | ||||||||
| City: | ALDAN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190184322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102374000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 LANSDOWNE AVE | ||||||||
| Address2: | |||||||||
| City: | DARBY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190231200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102374000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2010 | ||||||||
| LastUpdateDate: | 12/14/2010 | ||||||||
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| AuthorizedOfficialLastName: | EISER | ||||||||
| AuthorizedOfficialFirstName: | ARNOLD | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | PROGRAM DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6102374000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA0600X | MT192025 | PA | N | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | 282N00000X | MT192025 | PA | Y | Hospitals | General Acute Care Hospital |
No ID Information.