MEDICARE: MAIN LINE HOSPITALS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	120401	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0001019000	OTHER	AMERIHEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0001019000	OTHER	INDEPENDENCE BLUE CROSS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	60024	OTHER	KEYSTONE MERCY
8	0001427	OTHER	AETNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	0071399204	OTHER	AMERICHOICE
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	258210	OTHER	MAMSI/ALLIANCE

General Provider Information

NPI Number	:	1245335629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAIN LINE HOSPITALS, INC.

Provider Business Mailing Address
First Line	:	240 N RADNOR CHESTER RD
Second Line	:
City	:	RADNOR
State	:	PA
Zip	:	19087-5170
Country	:	US
Telephone Number	:	484-337-1814
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E LANCASTER AVE
Second Line	:
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-3450
Country	:	US
Telephone Number	:	610-645-2000
Fax Number	:

Authorized Official
Title or Position	:	EXEC VP / CHIEF FINANCIAL OFFICER
Name	:	MS. LEIGH EHRLICH
Credential	:
Telephone Number	:	484-337-2029

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	02/05/2026

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