Verification Lookup Portal
Providers for Northern Light Health
Acadia Hospital
AR Gould Hospital
Blue Hill Hospital
C.A. Dean Hospital
Eastern Maine Medical Center
Inland Hospital
Maine Coast Hospital
Mayo Hospital
Mercy Hospital
Sebasticook Valley Hospital
Provider Last Name
Last name is required.
Provider First Name
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Provider Birthdate
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Provider NPI
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Required Information
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Requester Name
Name is required.
Requester Title
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Requester Organization
Organization is required.
Requester Address
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Requester City, State, Zip
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Requester Phone
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Requester Fax
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Requester Email
Email is required.
I hereby certify that the information requested herein is necessary to complete the appointment and privileging process at our organization and that the provider identified herein is applying for privileges and/or medical staff membership at our organization. I agree to abide by these rules.
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Please Enter the Following Information:
Facility
Provider Last Name
Requester Name
Requester Organization
Requester Email