# MERCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HOSPITAL
- **Other names:** MERCY FORE RIVER EXPRESS CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093132946
- **Legal business name:** MERCY HOSPITAL
- **Authorized official:** MISS THERESA MARIE HUCK CPAT (REIMBURSEMENT TECH)
- **Authorized official phone:** (207) 831-5995

## Contact information

- **Practice address:** 175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
- **Practice address phone:** (207) 553-6105
- **Practice address fax:** (207) 553-6168
- **Mailing address:** 175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
- **Mailing address phone:** (207) 553-6105
- **Mailing address fax:** (207) 553-6168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 37636 | ME | Yes |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 03/27/2014