Provider Demographics
NPI:1548841687
Name:GWYNEDD MERCY ACADEMY HIGH SCHOOL
Entity type:Organization
Organization Name:GWYNEDD MERCY ACADEMY HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. CLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-479-3937
Mailing Address - Street 1:1345 SUMNEYTOWN PIKE #902
Mailing Address - Street 2:
Mailing Address - City:GWYNEDD VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19347
Mailing Address - Country:US
Mailing Address - Phone:215-646-8815
Mailing Address - Fax:
Practice Address - Street 1:1345 SUMNEYTOWN PIKE
Practice Address - Street 2:
Practice Address - City:GWYNEDD VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19347
Practice Address - Country:US
Practice Address - Phone:215-646-8815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare