Organization Active NPI

Catholic Community Health Alliance of Greater Manchester

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
National Provider Identifier
1245100429
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CATHOLIC COMMUNITY HEALTH ALLIANCE OF GREATER MANCHESTER
Practice address
293 Wilson St Ste 102
Manchester, NH 03103-5012
Phone
(603) 665-7450
Fax
(603) 663-0264
NPI assigned
Nov 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Mr. David Hildenbrand
Title
Cfo
Phone
(603) 663-0202

Specialties & licenses 1

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

Addresses

Primary practice location

293 Wilson St Ste 102
Manchester, NH 03103-5012

Mailing address

100 William Loeb Dr Unit 3
Manchester, NH 03109-5324
Phone (603) 935-4715

Other names 2

  • Wilson Street Integrated Health Doing business as
  • Health Care for the Homeless Program Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260325002207 NH Part A Provider - Federally Qualified Health Center (FQHC) 8527542778 1 other NPI on this enrollment
Practice locations: Manchester, NH

Federally qualified health center certification: CCN 301040

Legal name
CATHOLIC COMMUNITY HEALTH ALLIANCE OF GREATER MANCHESTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 19, 2026
Last certification
Mar 19, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
293 Wilson St
Ste 102
Manchester, NH 31035012

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Health Alliance of Greater Manchester3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Rossana Goding Individual Corporate DirectorExecutive Director HCH Nov 24, 2025
Thomas Blonski Individual Corporate DirectorBoard of Director Nov 24, 2025
Dominique a Rust Individual Contracted Managing Employee Nov 24, 2025
Corporate DirectorExecutive Director Ccha Nov 24, 2025
Matthew J Kfoury Individual Corporate DirectorBoard of Directors Nov 24, 2025
Peter a Libasci Individual Corporate DirectorBoard of Directors Nov 24, 2025
Meredith P Cook Individual Corporate DirectorBoard of Directors Nov 24, 2025
Susan D Huard Individual Corporate DirectorBoard of Directors Nov 24, 2025
Robert E Dunn Individual Corporate DirectorBoard of Directors Nov 24, 2025
Alexander J Walker Individual Corporate DirectorBoard of Directors Nov 24, 2025
Other Nov 24, 2025

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1245100429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAM LOEB DR UNIT 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095324",
            "telephone_number": "603-935-4715",
            "fax_number": "603-663-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 WILSON ST STE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035012",
            "telephone_number": "603-665-7450",
            "fax_number": "603-663-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY HEALTH ALLIANCE OF GREATER MANCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "HILDENBRAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-663-0202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Street Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Care for the Homeless Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.