NPIMap

Organization Active NPI

Mercy Hospital

Doing business as Mercy Express Care Westbrook

  • General Acute Care Hospital
  • Westbrook, ME
National Provider Identifier
1801234182
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
Doing business as
Mercy Express Care Westbrook
Practice address
40 Park Rd
Westbrook, ME 04092-3188
Phone
(207) 857-8174
Fax
(207) 857-8494
NPI assigned
Jun 10, 2013
Last updated
Jun 11, 2013By the provider in NPPES
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

40 Park Rd
Westbrook, ME 04092-3188

Mailing address

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

Other names 1

  • MERCY EXPRESS CARE WESTBROOK Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801234182. Details of each certification follow.

Hospital certification: CCN 200043

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WESTBROOK COMMUNITY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Sep 1, 1999
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 8, 1995
Beds
30
Ownership / control type
Other
Facility address
40 Park Rd
Westbrook, ME 04092

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.

Locations

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

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": "1801234182",
    "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": "40 PARK RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923188",
            "telephone_number": "207-857-8174",
            "fax_number": "207-857-8494"
        }
    ],
    "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 WESTBROOK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.