Provider Demographics
NPI:1952450082
Name:STATE OF NEW HAMPSHIRE
Entity Type:Organization
Organization Name:STATE OF NEW HAMPSHIRE
Other - Org Name:HAMPSTEAD HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:MORISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-271-9444
Mailing Address - Street 1:218 EAST ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2305
Mailing Address - Country:US
Mailing Address - Phone:603-329-5311
Mailing Address - Fax:603-329-4746
Practice Address - Street 1:218 EAST ROAD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-2305
Practice Address - Country:US
Practice Address - Phone:603-329-5311
Practice Address - Fax:603-329-4746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3134696Medicaid
VT6710824Medicaid
NYA011994OtherVALUE OPTIONS
NH3134696Medicaid
MA1899724Medicaid