Provider Demographics
NPI:1134155872
Name:SEACOAST EMERGENCY PHYSICIANS, PC
Entity type:Organization
Organization Name:SEACOAST EMERGENCY PHYSICIANS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACCAUSLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-740-2163
Mailing Address - Street 1:540 LAFAYETTE RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-3344
Mailing Address - Country:US
Mailing Address - Phone:603-926-0088
Mailing Address - Fax:603-924-2853
Practice Address - Street 1:789 CENTRAL AVE
Practice Address - Street 2:EMERGENCY DEPT
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2526
Practice Address - Country:US
Practice Address - Phone:603-740-2163
Practice Address - Fax:603-740-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30011120Medicaid
NHCE0476OtherRAILROAD MCARE GROUP ID
MA9705015Medicaid
MA9705015Medicaid