WENTWORTH-DOUGLASS HOSPITAL (NPI# 1720563703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720563703 |
Entity Type | Organization |
Organization Name | WENTWORTH-DOUGLASS HOSPITAL |
Practice Address |
121 Corporate Dr Bldg C Portsmouth NH 03801-6895 |
Mailing Address |
Po Box 412540 Boston MA 02241-2540 |
Practice Telephone | 6037428787 |
Enumeration Date | 2018-09-26 |
Last Update Date | 2020-05-17 |
Authorized Official Name | TRISHA GAGNON (DIR. REVENUE CYCLE OPERATIONS) |
Authorized Official Telephone | 6037425252 |
Is Organization Subpart | Y |
Parent Organization Name | WENTWORTH DOUGLASS HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3074430 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757733 | Wentworth-douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-23 |
1114266202 | Wentworth-douglass Hospital | Pharmacy | 789 Central Avenue, Dover, NH 03820 | 2013-02-08 |
1609143130 | Wentworth-douglass Hospital | Pharmacy | 789 Central Ave, Dover, NH 03820 | 2011-11-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WENTWORTH-DOUGLASS HOSPITAL | 789 Central Ave, Dover, NH 03820-2526 |
Colorado Business Entities | Wentworth-Douglass Hospital | 789 Central Avenue, Dover, NH 03820 |
Street Address |
121 CORPORATE DR BLDG C |
City | PORTSMOUTH |
State | NH |
Zip Code | 03801-6895 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
Find all providers in zip 03801 |
Taxonomy Code | 261QX0203X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology, Radiation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740590397 | Skpr Oh 1 LLC | Clinic/Center | 915 10th St, Portsmouth, OH 45662-4152 | 2010-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043308034 | Nashua Regional Cancer Center Inc | Clinic/Center | 11 N Southwood Dr, Nashua, NH 03063-1803 | 2006-10-11 |
1245260272 | Radiation Oncology Associates, Pa | Clinic/Center | 1 Elliot Way, Elliot Hospital - Radiation Oncology, Manchester, NH 03103-3502 | 2006-07-04 |
City | PORTSMOUTH |
Zip Code | 03801 |
Please comment or provide details below to improve the information on WENTWORTH-DOUGLASS HOSPITAL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.