WENTWORTH DOUGLASS HOSPITAL; NPI #1477038461

Contact Information

WENTWORTH DOUGLASS HOSPITAL

121 CORPORATE DR BLDG A
PORTSMOUTH, NH 03801-6895

Phone: 603-742-8787
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for WENTWORTH DOUGLASS HOSPITAL

NPI Number 1477038461

LBN Legal business name WENTWORTH DOUGLASS HOSPITAL

Authorized official JOEL DEGENAARS - (EXECUTIVE DIRECTOR OF FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/26/2018

Last updated 12/17/2025 - About 6 months ago

Identifiers

Medicaid

3074430

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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