Active NPI
Catholic Community Health Alliance of Greater Manchester
- Federally Qualified Health Center (FQHC)
- Manchester, NH
National Provider Identifier
1386514560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Health Care for the Homeless Program
- Manchester Mobile Health Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260325002207 | NH | Part A Provider - Federally Qualified Health Center (FQHC) | 8527542778 |
1 other NPI on this enrollment This NPI is an additional NPI on the 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
- Corporation
- 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.
-
- Federally Qualified Health Center (FQHC)
- Manchester, NH
- NPI 1245100429
O20260325002207
National Provider Directory
National Provider Directory- Tax ID family
- Catholic Community Health Alliance of Greater Manchester
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Manchester, NH
- NPI 1245100429
-
- Public Health Dentistry
- Manchester, NH
- NPI 1376405795
Locations
293 Wilson St
Ste 102
Manchester, NH 03103
Phone (603) 665-7450
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rossana Goding | Corporate Director | Nov 24, 2025 | |
| Thomas Blonski | Corporate Director | Nov 24, 2025 | |
| Dominique a Rust | Contracted Managing Employee | Nov 24, 2025 | |
| Corporate Director | Nov 24, 2025 | ||
| Matthew J Kfoury | Corporate Director | Nov 24, 2025 | |
| Peter a Libasci | Corporate Director | Nov 24, 2025 | |
| Meredith P Cook | Corporate Director | Nov 24, 2025 | |
| Susan D Huard | Corporate Director | Nov 24, 2025 | |
| Robert E Dunn | Corporate Director | Nov 24, 2025 | |
| Alexander J Walker | Corporate Director | 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": "1386514560",
"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": "Health Care for the Homeless Program",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Manchester Mobile Health Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manchester, NH
- Joseph Frank Catalano, RBT
- Teresa Marie Cataldo, ARNP
- Robert Anthony Catania, MD
- Catholic Community Health Alliance of Greater Manchester
- Catholic Community Health Alliance of Greater Manchester
- Catholic Healthcare Trust
- Catholic Healthcare Trust
- Catholic Healthcare Trust
- Catholic Medical Center
- Catholic Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.