Provider Demographics
NPI:1518913607
Name:HCA HEALTH SERVICES OF NEW HAMPSHIRE INC
Entity Type:Organization
Organization Name:HCA HEALTH SERVICES OF NEW HAMPSHIRE INC
Other - Org Name:PORTSMOUTH REGIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:WIESMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-433-4010
Mailing Address - Street 1:PO BOX 7004
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03802-7004
Mailing Address - Country:US
Mailing Address - Phone:603-436-5110
Mailing Address - Fax:603-433-5245
Practice Address - Street 1:333 BORTHWICK AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7128
Practice Address - Country:US
Practice Address - Phone:603-436-5110
Practice Address - Fax:603-433-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1002783Medicaid
NH300029OtherBLUE CROSS
VT100879200Medicaid
900250OtherHARVARD
NY01546056Medicaid
NH80300029Medicaid
FL902162100Medicaid
905893OtherHARVARD PILGRIM
ALPOR0029NMedicaid
PA1007770520003Medicaid
903299OtherTUFT
GA000593843XMedicaid
ME140140000Medicaid
0065372OtherUS HEALTHCARE
GA000593843XMedicaid