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
1639339948
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
Families First of the Greater Seacoast
Practice address
8 Greenleaf Woods Dr
Portsmouth, NH 03801-5436
Phone
(603) 422-8208
Fax
(603) 422-8218
NPI assigned
Jun 10, 2008
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
Billing Manager
Phone
(603) 812-0833

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
30512345MedicaidNH

Other names 2

  • Families First Health & Support Center Doing business as
  • Families First of the Greater Seacoast 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
This NPI is an additional NPI on the enrollment
Practice locations: Portsmouth, NH
O20180723002512 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 1639339948. Details of each certification follow.

Federally qualified health center certification: CCN 301813

Legal name
GREATER SEACOAST COMMUNITY HEALTH
Doing business as
FAMILIES FIRST OF GREATER SEACOAST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 1, 2002
Last certification
Sep 1, 2002
Ownership / control type
For profit – partnership
Most recent change of ownership
Jan 1, 2018 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2018 in NH
Enrollment address
8 Greenleaf Woods Dr
Portsmouth, NH 38015454

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
Part of
Avis Goodwin Community Health Center

Ownership & related parties

All disclosed owners & managing parties 30

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
Jennifer Glidden Individual Corporate DirectorBoard Secretary Jan 1, 2018
Karin Barndollar Individual Corporate DirectorBoard Member Jan 1, 2018
Jeffrey M Segil Individual Corporate DirectorBoard Member Jan 1, 2018
Janet M Laatsch Individual Corporate DirectorCeo Jan 1, 2018
Corporate OfficerCeo Jan 1, 2018
Operational/Managerial ControlCeo Jan 1, 2018 100%
OtherCeo Jan 1, 2018 100%
Mark Boulanger Individual Corporate DirectorBoard Treasurer Jan 1, 2018
Valerie Goodwin Individual Corporate DirectorBoard Vice Chair Jan 1, 2018
Peter Whitman Individual Corporate DirectorBoard Member Jan 1, 2018
Kimberly a Garca Individual Corporate OfficerOfficer Jan 1, 2018
W-2 Managing EmployeeManaging Employee Jan 1, 2018
W-2 Managing EmployeeBilling Manager Jan 1, 2018
OtherBilling Manager 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
Corporate Director Nov 15, 2010
James Avrett Individual Corporate OfficerCeo Nov 1, 2023
Dennis Veilleux 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
Kathleen Macleod Individual Corporate Director May 21, 2003
Thomas Newbold Individual Corporate Director Nov 15, 2010
Linda Panori Individual Corporate Director Nov 15, 2010
Barbara Bayerle Individual Corporate Director Nov 15, 2010
Donna Ryan Individual Corporate Director Nov 15, 2010
John Pelletier Individual Corporate Director Nov 15, 2010
John Jamison Individual Corporate Director Nov 15, 2010
Helen B Taft Individual Corporate Director Nov 1, 1989
W-2 Managing Employee Nov 1, 1989
Patricia a Locuratolo Individual Corporate Director Nov 15, 2010
Linda Sanborn Individual Corporate Director Nov 15, 2010
Kristen Hanley Individual Corporate Director Nov 15, 2010

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 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1639339948",
    "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": "603-422-8218"
        },
        {
            "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": "2008-06-10",
        "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": "BILLING MANAGER",
        "authorized_official_telephone_number": "603-812-0833"
    },
    "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": "30512345",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Families First Health & Support Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Families First of the Greater Seacoast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Families First of the Greater Seacoast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.