Healthcare Provider Details

I. General information

NPI: 1992205009
Provider Name (Legal Business Name): HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 BORTHWICK AVE
PORTSMOUTH NH
03801-4198
US

IV. Provider business mailing address

333 BORTHWICK AVE
PORTSMOUTH NH
03801-4198
US

V. Phone/Fax

Practice location:
  • Phone: 603-436-5110
  • Fax: 603-433-5245
Mailing address:
  • Phone: 603-436-5110
  • Fax: 603-433-5245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: JACOB WIESMANN
Title or Position: CFO
Credential:
Phone: 603-433-4010