Organization
MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THERESA MARIE HUCK (DELEGATED OFFICIAL)
(207) 879-3155
Entity
Organization
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3000
Mailing address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
36899
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101850000
—
ME
Enumeration date
07/29/2005
Last updated
04/15/2022
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