NPIMap

Organization Active NPI

Family First Health Corporation

Doing business as Family First Health - Hannah Penn Center

  • Federally Qualified Health Center (FQHC)
  • York, PA
National Provider Identifier
1720142490
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 - Hannah Penn Center
Practice address
415 E Boundary Ave
York, PA 17403-2811
Phone
(717) 843-5174
Fax
(855) 732-3409
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
(707) 801-4804

Specialties & licenses 1

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

Addresses

Primary practice location

415 E Boundary Ave
York, PA 17403-2811

Mailing address

116 S George St
Suite 301
York, PA 17401-1408
Phone (717) 846-5846

Other identifiers 4

IdentifierTypeStateIssuer
1007548530004MedicaidPA
1145770OtherPAAMERIHEALTH
50047910OtherPACBC-KEYSTONE
0069099003OtherPAAMERIHEALTH 65

Other names 1

  • Family First Health - Hannah Penn Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

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
O20100802000223 PA Part A Provider - Federally Qualified Health Center (FQHC) 8022910207 Practice locations: York, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720142490. Details of each certification follow.

Federally qualified health center certification: CCN 391885

Legal name
FAMILY FIRST HEALTH CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 1996
Last certification
May 1, 1996
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1971 in PA
Enrollment address
415 E Boundary Ave
York, PA 17403-2811
Related CCNs
391817

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
39D2318526Family First HLTH Hannah Penn415 E Boundary Ave, York, PA 17403Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
York Health Corp Hanove11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

415 E Boundary Ave
York, PA 17403
Phone (717) 843-5174

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 EmployeeChief Executive Officer 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.

Practitioners & affiliated clinicians

Practitioners 12

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1720142490",
    "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": "174011408",
            "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": "415 E BOUNDARY AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032811",
            "telephone_number": "717-843-5174",
            "fax_number": "855-732-3409"
        }
    ],
    "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": "707-801-4804"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007548530004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1145770",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC-KEYSTONE",
            "identifier": "50047910",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65",
            "identifier": "0069099003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Health - Hannah Penn Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family First Health - Hannah Penn Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.