NPIMap

Organization Active NPI

HCA Health Services of New Hampshire Inc

Doing business as Portsmouth Regional Hospital

  • Psychiatric Hospital Unit
  • Portsmouth, NH
National Provider Identifier
1043257918
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HCA HEALTH SERVICES OF NEW HAMPSHIRE INC
Doing business as
Portsmouth Regional Hospital
Practice address
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone
(603) 436-5110
Fax
(603) 433-5245
NPI assigned
Jun 1, 2006
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacob Wiesmann
Title
Cfo
Phone
(603) 433-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

333 Borthwick Ave
Portsmouth, NH 03801-7128

Mailing address

PO Box 7004
Portsmouth, NH 03802-7004
Phone (603) 436-5110

Other identifiers 2

IdentifierTypeStateIssuer
140140400OtherPORTSMOUTH PAVILION ME P
30033031OtherNH PSYCH PORTSMOUTH PAVIL

Other names 1

  • PORTSMOUTH REGIONAL HOSPITAL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070606000457 NH Part A Provider - Hospital 3779477005 Practice locations: Portsmouth, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043257918. Details of each certification follow.

Hospital certification: CCN 30S029

Legal name
HCA HEALTH SERVICES OF NEW HAMPSHIRE INC
Doing business as
PORTSMOUTH REGIONAL HOSPITAL
Organization structure
CorporationProprietary
Enrollment address
333 Borthwick Ave
Portsmouth, NH 38017128
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
HCA Health Services of New Hampshire Inc27 organizations share this tax ID, including this one
Part of
HCA Health Services of New Hampshire Inc

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 42

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 30, 2007 100%
John M Franck Individual Corporate Director Mar 30, 2007
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 8, 2017 100%
Henry Todd Maxwell Individual Corporate Officer Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Aug 9, 2011
Joseph a Sowell Individual Corporate Officer Aug 9, 2011
John M Hackett Individual Corporate Officer Apr 18, 2016
Michael Gingras Individual Corporate OfficerCapital Division Cfo Oct 26, 2023
William Wilburn Lunn Individual Corporate Officer Jan 1, 2024
Whitney Fenyak Individual Corporate Director Feb 17, 2025
John Skevington Individual Corporate Officer Mar 1, 2020
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2006 20%
Samuel N Hazen Individual Corporate Director Aug 9, 2011
Ronald Lee Grubbs Individual Corporate Officer Aug 9, 2011
Haley a Biggers Individual Corporate OfficerCfo May 25, 2025
W-2 Managing EmployeeCfo May 25, 2025
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate Officer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 30, 2007 100%
Hospital Corp LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 30, 2007 100%
Seth a Killingbeck Individual Corporate Officer Aug 29, 2012
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Sean M Patterson Individual Corporate OfficerCeo Apr 1, 2025
W-2 Managing EmployeeCeo Apr 1, 2025
Michael T Bray Individual Corporate Officer Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerVice President Sep 5, 2025
Peter J Rossell Individual Corporate Officer Jan 1, 2023
Timothy M McManus Individual Corporate Officer Aug 1, 2016
Michael a Marks Individual Corporate OfficerSenior Vice President Sep 5, 2025
Edwin W Robinson Individual Corporate OfficerVice President Sep 5, 2025
Brad Ej Spicer Individual Corporate Officer Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Officer Aug 9, 2011
Russell Young Individual Corporate Officer Jan 1, 2023

Facilities with the same owner 144

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1043257918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038027004",
            "telephone_number": "603-436-5110",
            "fax_number": "603-433-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-436-5110",
            "fax_number": "603-433-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCA HEALTH SERVICES OF NEW HAMPSHIRE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "WIESMANN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-433-4010"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PORTSMOUTH PAVILION ME P",
            "identifier": "140140400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH PSYCH PORTSMOUTH PAVIL",
            "identifier": "30033031",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PORTSMOUTH REGIONAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PORTSMOUTH REGIONAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.