Provider Demographics
NPI:1780877902
Name:SEACOAST KIDNEY & HYPERTENSION SPECIALISTS, P.L.L.C.
Entity type:Organization
Organization Name:SEACOAST KIDNEY & HYPERTENSION SPECIALISTS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-436-3433
Mailing Address - Street 1:875 GREENLAND ROAD
Mailing Address - Street 2:BUILDING C-UNIT 10
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4174
Mailing Address - Country:US
Mailing Address - Phone:603-436-3433
Mailing Address - Fax:603-427-5115
Practice Address - Street 1:875 GREENLAND RD
Practice Address - Street 2:BUILDING C-UNIT 10
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4164
Practice Address - Country:US
Practice Address - Phone:603-436-3433
Practice Address - Fax:603-427-5115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30211568Medicaid
NH2655384OtherAETNA
ME143130000Medicaid
ME143130000Medicaid
NHCH9040Medicare PIN