Mms-Leon Clarke, Md

LBN: Mercy Management Of Sepa
Mms-Leon Clarke, Md is an health care organization with primary practice located at 501 S 54Th St Suite 537, Philadelphia PA 19143-1900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mercy Management Of Sepa can be contacted via phone (215) 748-9653, or through Smith, Douglas C via phone (610) 567-6964.

Contact Information

Primary practice address
501 S 54Th St Suite 537 Philadelphia PA 19143-1900
Phone: (215) 748-9653
Fax: (215) 748-9667
Website:
Map and Directions
Authorized official contact:
Name: Smith, Douglas C
Phone: (610) 567-6964

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1861478976
LBN Legal business name Mercy Management Of Sepa
DBA Doing business as Mms-Leon Clarke, Md
Authorized official Smith, Douglas C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861478976 NPPES
Pennsylvania Other 3032802 AETNA HMO
Pennsylvania Other 1542222 AETNA HMO
Pennsylvania Other 2227092000 AETNA HMO
Pennsylvania MEDICAID 1007787930154 AETNA HMO
Pennsylvania Other 30010808 AETNA HMO
Pennsylvania Other 4597364 AETNA HMO
Pennsylvania Other 125182900 AETNA HMO

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