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1730173550

NPI Code Detail

MEDICARE: MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA

MEDICARE: MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	390156	OTHER	PA	MEDICARE ID TYPE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001439	OTHER	PA	AETNA
2	0061276602	OTHER	PA	AMERICHOICE
3	0001105000	OTHER	PA	IBC
4	0001105000	OTHER	PA	KEYSTONE EAST
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	12455	OTHER	PA	HEALTH PARTNERS
8	60001	OTHER	PA	KMHP

General Provider Information

NPI Number	:	1730173550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA

Provider Business Mailing Address
First Line	:	41 UNIVERSITY DR STE 300
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1873
Country	:	US
Telephone Number	:	734-343-2654
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 LANSDOWNE AVE
Second Line	:
City	:	DARBY
State	:	PA
Zip	:	19023-1200
Country	:	US
Telephone Number	:	610-237-4000
Fax Number	:

Authorized Official
Title or Position	:	VP, FINANCE AND CFO
Name	:	MS. JULIE KEESE
Credential	:
Telephone Number	:	301-754-7201

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	03/13/2026

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Directions to “MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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