NPIMap

Organization Active NPI

Mercy Hospital

Doing business as Mercy Fore River Express Care

  • General Acute Care Hospital
  • Portland, ME
National Provider Identifier
1093132946
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
37636 Issued in ME
Legal business name
MERCY HOSPITAL
Doing business as
Mercy Fore River Express Care
Practice address
175 Fore River Pkwy
Portland, ME 04102-2779
Phone
(207) 553-6105
Fax
(207) 553-6168
NPI assigned
Mar 27, 2014
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Theresa Marie Huck, CPAT
Title
Reimbursement Tech
Phone
(207) 831-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 37636 ME Primary

Addresses

Primary practice location

175 Fore River Pkwy
Portland, ME 04102-2779

Mailing address

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 553-6105

Other names 1

  • MERCY FORE RIVER EXPRESS CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospial7 organizations share this tax ID, including this one
Part of
Mercy Hospial

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1093132946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FORE RIVER PKWY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022779",
            "telephone_number": "207-553-6105",
            "fax_number": "207-553-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FORE RIVER PKWY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022779",
            "telephone_number": "207-553-6105",
            "fax_number": "207-553-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REIMBURSEMENT TECH",
        "authorized_official_telephone_number": "207-831-5995",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CPAT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ME",
            "license": "37636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY FORE RIVER EXPRESS CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.