Organization
MERCY HOSPITAL
Active
Parent organization
MERCY HOSPITAL
Other names
Mercy Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL
Authorized official
MISS THERESA MARIE HUCK CPAT (DELEGATED MEDICARE OFFICIAL)
(207) 879-3155
Entity
Organization
Contact information
Practice address
195 FORE RIVER PKWY, SUITE 300, PORTLAND, ME 04102-2780
(207) 879-3601
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
37636
ME
Other
Enumeration date
07/10/2012
Last updated
06/11/2013
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