NORTHERN LIGHT MERCY HOSPITAL
NPI 1396496378
Clinic/Center - Rural Health in Windham, ME

Active since January 12, 2022CLIA 20D1084121 · Accreditation
409 ROOSEVELT TRL, WINDHAM, ME 04062(207) 400-8618 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2024, Jan 12, 2022 (2 updates tracked since 2022).

About Northern Light Mercy Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN LIGHT MERCY HOSPITAL (NPI 1396496378) is a healthcare organization registered as a rural health in Windham, Maine and active in the NPI registry since January 2022. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists David Patrick Kennedy, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1396496378
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMERCY HOSPITAL
Location Address409 ROOSEVELT TRLWindham, ME 04062-4821
Mailing Address175 Fore River PkwyPortland, ME 04102-2779
Organization SubpartNo
Authorized OfficialDavid Patrick KennedyVp Finance · (207) 879-3363
Enumeration DateJanuary 12, 2022
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1396496378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
409 ROOSEVELT TRL, Windham, ME 04062

Other Names 2

Doing Business AsNorthern Light Mercy Hospital
Doing Business AsNorthern Light Mercy Health Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 20D1084121

Northern Light Mercy Hospital · Portland, ME
Active · expires Dec 22, 2027
CLIA Number20D1084121
Laboratory TypeHospital
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Frederick Eyerer
Laboratory Phone(207) 879-3172
Laboratory LocationNorthern Light Mercy Hospital175 Fore River Pkwy, Portland, ME 04102
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
409 ROOSEVELT TRL
WINDHAM, ME 04062
General Acute Care Hospital
409 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner (Family)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner (Family)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner (Family)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Family Medicine
409 ROOSEVELT TRL
WINDHAM, ME 04062
Pharmacist (Ambulatory Care)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Family Medicine
409 ROOSEVELT TRL
WINDHAM, ME 04062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Hospital's NPI number?

The NPI number for Mercy Hospital is 1396496378. It was assigned to this organization in the NPPES registry on January 12, 2022. The provider is doing business as Northern Light Mercy Hospital and Northern Light Mercy Health Center.

Where is Mercy Hospital located?

Mercy Hospital is located at 409 Roosevelt Trl, Windham, ME 04062. The listed phone number is (207) 400-8618.

What is Mercy Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mercy Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 20D1084121) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield list Mercy Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercy Hospital was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.