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DSH390156D MERCY CATHOLIC MEDICAL CENTER (Active)
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Main Details
Name
MERCY CATHOLIC MEDICAL CENTER
Subdivision Name
Adult Ambulatory Clinic, Suite 2000 of the Sister Marie Lenahan Wellness Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390156D
Medicare Provider Number
390156
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/25/2008
Participating Start Date
9/9/2005
Participating Approval Date
4/25/2008
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Trinity Health Mid-Atlantic
Kimberly Cummings, Chief Financial Officer
(215) 710-2508
Primary Contact
Mercy Catholic Medical Center
Kellyann Morrison, Pharmacy Manager
(610) 237-4341 Ext: 39350
Addresses
Street Address
1503 LANSDOWNE AVENUE
Suite 2000
DARBY, PA 19023
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/25/08 MOVED ADDR LINE 2 TO SHIP TO
05/08/2008
April 2025
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