NPIMap

Organization Active NPI

Mercy Hospital

  • General Acute Care Hospital
  • Windham, ME
National Provider Identifier
1265870547
Registry record updated Jun 11, 2013
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
Practice address
409 Roosevelt TRL
Windham, ME 04062-4821
Phone
(207) 893-0290
Fax
(207) 893-0295
NPI assigned
Jun 10, 2013
Organization subpart
Yes
Parent organization
MERCY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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
Delegated Medicare Official
Phone
(207) 879-3155

Specialties & licenses 1

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

Addresses

Primary practice location

409 Roosevelt TRL
Windham, ME 04062-4821

Mailing address

144 State St
Portland, ME 04101-3776
Phone (207) 879-3000

Other names 1

  • MERCY EXPRESS CARE WINDHAM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital7 organizations share this tax ID, including this one
Part of
Mercy Hospital

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": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1265870547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013776",
            "telephone_number": "207-879-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624821",
            "telephone_number": "207-893-0290",
            "fax_number": "207-893-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DELEGATED MEDICARE OFFICIAL",
        "authorized_official_telephone_number": "207-879-3155",
        "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 EXPRESS CARE WINDHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.