NPIMap

Organization Active NPI

Greater Seacoast Community Health

Doing business as Families First Health & Support Center

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, NH
National Provider Identifier
1114935871
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER SEACOAST COMMUNITY HEALTH
Doing business as
Families First Health & Support Center
Practice address
8 Greenleaf Woods Dr
Portsmouth, NH 03801-5436
Phone
(603) 422-8208
Fax
(603) 422-8218
NPI assigned
Aug 4, 2006
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER SEACOAST COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Kimberly Garca
Title
Patient Account Director
Phone
(603) 516-2576

Specialties & licenses 1

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

Addresses

Primary practice location

8 Greenleaf Woods Dr
Portsmouth, NH 03801-5436

Mailing address

311 Route 108
Somersworth, NH 03878-1522
Phone (603) 422-8208

Other identifiers 1

IdentifierTypeStateIssuer
3111930MedicaidNH

Other names 1

  • Families First Health & Support Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040809000966 NH Part B Supplier - Clinic/Group Practice 2769454974 Receives reassigned benefits from 51 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portsmouth, NH; Somersworth, NH
O20050201000804 NH Part B Supplier - Clinic/Group Practice 2668380858 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Portsmouth, NH
O20180723002731 NH Part A Provider - Federally Qualified Health Center (FQHC) 2769454974 Practice locations: Portsmouth, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114935871. Details of each certification follow.

Federally qualified health center certification: CCN 301814

Legal name
GREATER SEACOAST COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 18, 2003
Last certification
Jul 18, 2003
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2018 in NH
Enrollment address
8 Greenleaf Woods Dr
Portsmouth, NH 38015436
Related CCNs
301813

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

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Avis Goodwin Community Health Center14 organizations share this tax ID, including this one
Part of
Avis Goodwin Community Health Center

Other organizations with this tax ID 13

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

View all 13

Locations

600 Lafayette Rd
Portsmouth, NH 03801
Phone (603) 422-8208

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Yulia Rothenberg Individual Corporate DirectorBoard Member Jan 1, 2018
Jo Jordan Individual Corporate DirectorBoard Member Jan 1, 2018
Allison Neal Individual Corporate DirectorBoard Member Jan 1, 2018
Michael Burke Individual Corporate DirectorBoard Member Jan 1, 2018
Jennifer Glidden Individual Corporate DirectorBoard Member Jan 1, 2018
Karin Barndollar Individual Corporate DirectorBoard Member Jan 1, 2018
Jeffrey M Segil Individual Corporate DirectorBoard Member Jan 1, 2018
Thomas Newbold Individual Corporate DirectorBoard Member Jan 1, 2018
Janet M Laatsch Individual Corporate OfficerCeo Jan 1, 2018
Mark Boulanger Individual Corporate DirectorBoard Member Jan 1, 2018
Valerie Goodwin Individual Corporate DirectorBoard Member Jan 1, 2018
Peter Whitman Individual Corporate DirectorBoard Member Jan 1, 2018
Kimberly a Garca Individual W-2 Managing EmployeeBilling Manager Jan 1, 2018
Mathurin M Malby Individual Corporate DirectorBoard Member Jan 1, 2018
Lisa Donovan Hall Individual Corporate DirectorBoard Member Jan 1, 2018
Kathy Scheu Individual Corporate DirectorBoard Member Jan 1, 2018
Mary Zygala-Schleyer Individual Corporate DirectorBoard Member Jan 1, 2018
Donald Chick Individual Corporate DirectorBoard Member Jan 1, 2018
Barbara Henry Individual Corporate DirectorBoard Member Jan 1, 2018
David Staples Individual Corporate DirectorBoard Member Jan 1, 2018
Erin Ross Individual Corporate OfficerCfo Jan 1, 2018
Linda Sanborn Individual Corporate DirectorBoard Member Jan 1, 2018

Owners & managing parties with NPI records 2

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

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the buyer Families First of the Greater SeacoastCCN 301814, NH, NPI 1114935871
Jan 1, 2018 Change of OwnershipThis provider was the seller Greater Seacoast Community HealthCCN 301814, NH, NPI 1114935871

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1114935871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781522",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GREENLEAF WOODS DR",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015436",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SEACOAST COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER SEACOAST COMMUNITY HEALTH",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "GARCA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PATIENT ACCOUNT DIRECTOR",
        "authorized_official_telephone_number": "603-516-2576"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111930",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Families First Health & Support Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Families First Health & Support Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.