NPIMap

Organization Active NPI

Greater Lawrence Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrence, MA
National Provider Identifier
1013284843
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4943 Issued in MA
Legal business name
GREATER LAWRENCE FAMILY HEALTH CENTER, INC.
Practice address
1 General St
Lamprey Building, 4TH Floor
Lawrence, MA 01841-2961
Phone
(978) 983-0488
NPI assigned
Nov 22, 2011
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Karin Bernard
Title
Director, Mso
Phone
(978) 689-6683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4943 MA Primary

Addresses

Primary practice location

1 General St
Lamprey Building, 4TH Floor
Lawrence, MA 01841-2961

Mailing address

1 Griffin Brook Park Dr
Methuen, MA 01844-1865
Phone (978) 686-0090

Other identifiers 1

IdentifierTypeStateIssuer
1303775MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040805001067 MA Part B Supplier - Clinic/Group Practice 0446221956 Receives reassigned benefits from 134 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Methuen, MA; Lawrence, MA; Haverhill, MA; Andover, MA
O20120224000481 MA Part A Provider - Federally Qualified Health Center (FQHC) 0446221956 Practice locations: Lawrence, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013284843. Details of each certification follow.

Federally qualified health center certification: CCN 221908

Legal name
GREATER LAWRENCE FAMILY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 3, 2012
Last certification
Feb 3, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 30, 1980 in MA
Enrollment address
1 General St
Lawrence, MA 18412961

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1 General St
Bldg 4TH
Lawrence, MA 01841
Phone (978) 983-0488

147 Pelham St
Methuen, MA 01844
Phone (978) 683-3491

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Julieann Thurlow Individual Corporate DirectorBoard Member Sep 1, 2019
Abel Vargas Individual Corporate DirectorBoard Member Sep 1, 2018
Joanne Grega Individual Corporate DirectorBoard Member Oct 27, 2015
Rosa Pina Individual Corporate DirectorBoard Member Feb 29, 2016
Zandra S Kelley Individual Corporate OfficerCeo Sep 1, 2025
W-2 Managing EmployeeCeo Sep 1, 2025
Sharon Castillo Individual Corporate DirectorBoard Member Jun 4, 2024
Nicholas Rosenberg Individual Corporate DirectorBoard Member Oct 1, 2021
Daliza Nova Individual Corporate DirectorBoard Member Nov 12, 2024
Scott Hellen Individual Corporate DirectorBoard Member Feb 7, 2023
Ivanova Polanco Individual Corporate DirectorBoard Member Oct 1, 2021
Glendaly Pena Soto Individual Corporate DirectorBoard Member Jun 4, 2024
Andrea Vargas Individual Corporate DirectorBoard Member Nov 1, 2022
Nicholas Weida Individual Corporate OfficerCeo Sep 14, 2025
Katelyn Reilly Individual Corporate DirectorBoard Member Jun 4, 2024
Charles Zanazzi Individual Corporate DirectorBoard Member Mar 10, 2011
Rafael E. Carmona Individual Corporate DirectorBoard Member Feb 7, 2023
Frances Sidley Individual Corporate DirectorBoard Member Sep 1, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1013284843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRIFFIN BROOK PARK DR",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441865",
            "telephone_number": "978-686-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "address_2": "LAMPREY BUILDING, 4TH FLOOR",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412961",
            "telephone_number": "978-983-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LAWRENCE FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "DIRECTOR, MSO",
        "authorized_official_telephone_number": "978-689-6683"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303775",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.