NPIMap

Organization Active NPI

Family First Health Corporation

Doing business as Family First Health - Hanover Center

  • Federally Qualified Health Center (FQHC)
  • Hanover, PA
National Provider Identifier
1336203017
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY FIRST HEALTH CORPORATION
Doing business as
Family First Health - Hanover Center
Practice address
1230 High St
Hanover, PA 17331-1127
Phone
(717) 632-9052
Fax
(855) 332-9945
NPI assigned
Dec 20, 2006
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Jennifer Englerth
Title
Chief Executive Officer/President
Phone
(717) 801-4804

Specialties & licenses 1

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

Addresses

Primary practice location

1230 High St
Hanover, PA 17331-1127

Mailing address

116 S George St
Suite 301
York, PA 17401-1474
Phone (717) 846-5846

Other identifiers 6

IdentifierTypeStateIssuer
1145775OtherPAAMERIHEALTH
1007548530020MedicaidPA
50047911OtherPACBC-KEYSTONE
BL65OtherPACAREFIRST
1519236OtherHIGHMARK WHOLECARE
582JOtherPAUPMC

Other names 1

  • Family First Health - Hanover Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040127000506 PA Part B Supplier - Clinic/Group Practice 8022910207 Receives reassigned benefits from 48 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: York, PA; Lewisberry, PA; Lebanon, PA; Hanover, PA; Gettysburg, PA; Columbia, PA
O20040204001033 PA Part A Provider - Federally Qualified Health Center (FQHC) 8022910207 Practice locations: Hanover, PA
O20100805000518 PA Part A Provider - Federally Qualified Health Center (FQHC) 8022910207 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewisberry, PA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1336203017. Details of each certification follow.

Federally qualified health center certification: CCN 391909

Legal name
FAMILY FIRST HEALTH CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 6, 2001
Last certification
Apr 6, 2001
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1971 in PA
Enrollment address
1230 High St
Hanover, PA 17331-1127
Related CCNs
390026

Federally qualified health center certification: CCN 391908

Legal name
FAMILY FIRST HEALTH CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 6, 2001
Last certification
Apr 6, 2001
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1971 in PA
Enrollment address
308 Market St
Lewisberry, PA 17339-9257
Related CCNs
390026

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

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2318743Family First Health Hanover1230 High St, Hanover, PA 17331Provider-performed microscopyFeb 17, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Robert Merino Individual Corporate DirectorBoard Treasurer Sep 25, 2018
Vicki Dettinger Individual Corporate DirectorBoard Member Mar 24, 2020
Kyle Kirkpatrick Individual Corporate DirectorBoard Member Sep 25, 2018
Michael Shanebrook Individual Corporate DirectorBoard Member Oct 28, 2003
Cindy Steele Individual Corporate DirectorBoard Secretary Nov 24, 2015
Brent Doores Individual Corporate OfficerVP of Finance Jan 16, 2023
W-2 Managing EmployeeVP of Finance Jan 16, 2023
Michael Reinert Individual Corporate DirectorBoard Member Oct 28, 2025
Jennifer Englerth Individual Corporate DirectorCeo Jul 6, 2004
W-2 Managing Employee Jul 6, 2004
Corporate DirectorPresident/Ceo Jul 6, 2004
W-2 Managing EmployeePresident/Ceo Jul 6, 2004
Philip Given Individual Corporate DirectorBoard Chair Nov 28, 2017
Allison Hawthorne Individual Corporate DirectorBoard Vice Chair Jan 22, 2013
Kenneth Adams Individual Corporate DirectorBoard Member Oct 25, 2022
Carlos a Roberts Individual Corporate DirectorBoard Member Oct 28, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family First Health CorporationLebanon, PA, CCN 391152 Federally qualified health center Operational/Managerial Control (100%) Feb 10, 2020
Family First Health - William Penn CenterYork, PA, CCN D31018 Federally qualified health center Operational/Managerial Control Sep 23, 2024
Family First Health - Dental Center at Springwood RoadYork, PA, CCN D31029 Federally qualified health center Operational/Managerial Control Dec 30, 2024
Family First Health - Columbia Center DentalColumbia, PA, CCN D31030 Federally qualified health center Operational/Managerial Control Aug 10, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1336203017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "address_2": "SUITE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-846-5846",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 HIGH ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311127",
            "telephone_number": "717-632-9052",
            "fax_number": "855-332-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "ENGLERTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PRESIDENT",
        "authorized_official_telephone_number": "717-801-4804"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1145775",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007548530020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC-KEYSTONE",
            "identifier": "50047911",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "BL65",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK WHOLECARE",
            "identifier": "1519236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "582J",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Health - Hanover Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family First Health - Hanover Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.