Organization Name: | MERCY HEALTH SYSTEM MTS |
NPI Number: | 1053394122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL C ROTH (BILLING) |
Mailing Address: | 1500 Lansdowne Ave Darby |
State: | PA US |
Postal Code: | 190231200 |
Phone Number: | 6102373616 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 05044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |