NPIMap

Organization Active NPI

Greater Seacoast Community Health

  • Federally Qualified Health Center (FQHC)
  • Somersworth, NH
National Provider Identifier
1235815309
Registry record updated Jun 23, 2023
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
Practice address
11 Memorial Dr
Somersworth, NH 03878-1837
Phone
(603) 749-2346
Fax
(603) 953-0066
NPI assigned
Jun 23, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Janet Laatsch
Title
Chief Executive Officer
Phone
(603) 516-2550

Specialties & licenses 1

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

Addresses

Primary practice location

11 Memorial Dr
Somersworth, NH 03878-1837

Mailing address

311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

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
O20240207001307 NH Part A Provider - Federally Qualified Health Center (FQHC) 2769454974 Practice locations: Somersworth, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235815309. Details of each certification follow.

Federally qualified health center certification: CCN 301032

Legal name
GREATER SEACOAST COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 6, 2024
Last certification
Feb 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1973 in NH
Enrollment address
11 Memorial Dr
Somersworth, NH 38781837

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

Other organizations with this tax ID 13

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

View all 13

Locations

22 S Main St
Rochester, NH 03867
Phone (603) 742-4407

40 Winter St
Rochester, NH 03867
Phone (603) 332-5500

146 Lafayette Rd
Seabrook, NH 03874
Phone (603) 422-8208

11 Memorial Dr
Somersworth, NH 03878
Phone (603) 617-2750

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Abigail Sykas Karoutas Individual Corporate DirectorBoard Member Jan 18, 2017
Jennifer Glidden Individual Corporate DirectorBoard Chair Jan 1, 2018
Timothy McNamara Individual Corporate DirectorBoard Member Apr 20, 2023
Jeffrey M Segil Individual Corporate DirectorBoard Member Jan 1, 2018
Allison Mulligan Individual Corporate DirectorBoard Member Jan 27, 2023
James Sepanski Individual Corporate DirectorBoard Member Jan 25, 2021
Valerie Goodwin Individual Corporate DirectorBoard Member Jan 1, 2018
Christine Perkins Individual Corporate DirectorBoard Member Sep 6, 2022
Kimberly a Garca Individual Corporate DirectorDirector of Patient Accounts Jan 1, 2018
W-2 Managing EmployeeDirector of Patient Accounts Jan 1, 2018
Laura Belsky Individual Corporate DirectorBoard Member Oct 6, 2021
Kathy Scheu Individual Corporate DirectorBoard Member Jan 1, 2018
James Avrett Individual Corporate OfficerCeo Oct 1, 2023
Dennis Veilleux Individual Corporate DirectorBoard Member Jan 1, 2018
Erin Ross Individual Corporate OfficerCfo Jan 1, 2018
Jody Hoffer Gittell Individual Corporate DirectorBoard Member Jan 1, 2000
Andrea Borowiecki Individual Corporate DirectorBoard Member Feb 25, 2023

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 54

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 54

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1235815309",
    "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": "603-749-2346",
            "fax_number": "603-953-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEMORIAL DR",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781837",
            "telephone_number": "603-749-2346",
            "fax_number": "603-953-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SEACOAST COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LAATSCH",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "603-516-2550"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.