MERCY HOSPITAL (NPI# 1093132946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093132946 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL |
| Other Organization Name | MERCY FORE RIVER EXPRESS CARE |
| Practice Address |
175 Fore River Pkwy Portland ME 04102-2779 |
| Practice Telephone | 2075536105 |
| Practice Fax Number | 2075536168 |
| Mailing Telephone | 2075536105 |
| Mailing Fax Number | 2075536168 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | MISS THERESA MARIE HUCK (REIMBURSEMENT TECH) |
| Authorized Official Telephone | 2078315995 |
| Authorized Official Credential | CPAT |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 37636 | ME | Hospitals |
| Other Name | Type Code |
|---|---|
| MERCY FORE RIVER EXPRESS CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174823660 | Mercy Hospital | General Acute Care Hospital | 16900 N Bay Rd Apt 811, Sunny Isles Beach, FL 33160-4266 | 2010-10-30 |
| 1659330751 | Mercy Hospital | Home Health | 243 Central Ave N, Valley City, ND 58072-2965 | 2006-03-20 |
| 1629078712 | Mercy Hospital | General Acute Care Hospital | 144 State St, Portland, ME 04101-3776 | 2005-07-29 |
| 1174961452 | Mercy Hospital | General Acute Care Hospital | 385 Route 1, Yarmouth, ME 04096-6729 | 2013-06-10 |
| 1801234182 | Mercy Hospital | General Acute Care Hospital | 40 Park Rd, Westbrook, ME 04092-3188 | 2013-06-10 |
| 1265870547 | Mercy Hospital | General Acute Care Hospital | 409 Roosevelt Trl, Windham, ME 04062-4821 | 2013-06-10 |
| 1528406808 | Mercy Hospital | General Acute Care Hospital | 19 South Gorham Crossing, Gorham, ME 04038-1912 | 2013-06-10 |
| 1295079937 | Mercy Hospital | Pharmacy | 400 Hobart St, Cadillac, MI 49601-2331 | 2012-11-19 |
| 1427313048 | Mercy Hospital | General Acute Care Hospital | 195 Fore River Pkwy, Suite 300, Portland, ME 04102-2780 | 2012-07-10 |
| 1669782686 | Mercy Hospital | General Acute Care Hospital | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2010-10-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL | 201 8th Ave Se, Oelwein, IA 50662-2447 |
| System for Award Management (SAM) Entities | MERCY HOSPITAL & SKILLED NURSING FACILITY | 218 E Pack St, Moundridge, KS 67107-8815 |
| System for Award Management (SAM) Entities | MERCY HOSPITAL AND MEDICAL CENTER | 2525 S Michigan Ave, Chicago, IL 60616-2315 |
| System for Award Management (SAM) Entities | MERCY HOSPITAL ARDMORE, INC. | 1011 14th Ave Nw, Ardmore, OK 73401-1828 |
| System for Award Management (SAM) Entities | MERCY HOSPITAL BERRYVILLE | 214 Carter St, Berryville, AR 72616-4303 |
| System for Award Management (SAM) Entities | MERCY HOSPITAL CARTHAGE | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| System for Award Management (SAM) Entities | MERCY HOSPITAL CASSVILLE | 94 Main St, Cassville, MO 65625-1610 |
| System for Award Management (SAM) Entities | MERCY HOSPITAL EL RENO | 2115 Parkview Dr, El Reno, OK 73036-2109 |
| Iowa Business Entities | MERCY HOSPITAL FOUNDATION | 500 E. Market Street, Iowa City, IA 52245 |
| Iowa Business Entities | MERCY HOSPITAL FOUNDATION, COUNCIL BLUFFS, IOWA | 12809 West Dodge Road, Omaha, NE 68154 |
| Street Address |
175 FORE RIVER PKWY |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447665526 | Linda Damaskos | General Acute Care Hospital | 310 Nw Upyown Terrace, 2a, Portland, OR 97210 | 2014-06-26 |
| 1003246174 | Rebecca Changizian | General Acute Care Hospital | 2929 Ne 25th Ave, Portland, OR 97212-3460 | 2013-11-26 |
| 1679879662 | Veterans Hospital | General Acute Care Hospital | 3710 S.w. U.S. Veterans Road, Portland, OR 97239-2964 | 2011-02-08 |
| 1083866933 | Providence St Vincent Hospital | General Acute Care Hospital | 1235 Ne 47th Ave, Suite 285, Portland, OR 97213-2100 | 2008-10-22 |
| 1205024387 | Vetrans Administration | General Acute Care Hospital | 6215 Ne Broadway St, Portland, OR 97213-4713 | 2007-10-14 |
| 1235337551 | Kalei Renae Kadau | General Acute Care Hospital | 1717 Sw Park Ave Apt 813, Portland, OR 97201-3240 | 2007-07-08 |
| 1134242506 | Portland Veterans Affairs Medical Center | General Acute Care Hospital | 5430 Sw Cameron Rd, Portland, OR 97221 | 2007-04-09 |
| 1487788147 | Portland Va Medical Center | General Acute Care Hospital | 5404 Sw Vermont St, Portland, OR 97219-1034 | 2007-03-15 |
| 1457436248 | Kathleen M Hamel | General Acute Care Hospital | 3710 Se Us Veterans Hospital Rd, Portland, OR 97207-9823 | 2006-10-27 |
| 1801887658 | Portland Adventist Medical Center | General Acute Care Hospital | 10123 Se Market St, Portland, OR 97216 | 2005-11-01 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.