Lamprey Health Care Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Raymond, NH
NPI 1811909617 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1811909617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- LAMPREY HEALTH CARE INC
- Practice address
- 128 Route 27
Raymond, NH 03077-1220 - Phone
- (603) 895-3351
- Fax
- (603) 895-8003
- NPI assigned
- Aug 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- LAMPREY HEALTH CARE INC
Authorized official
- Name
- Gregory White
- Title
- Chief Executive Officer
- Phone
- (603) 659-2494
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 4
Practitioners 56
-
Celine Lucienne Boutin, APRN
-
Mary F Braun, MD
-
Lingyan Chen, FNP-C
-
Heidi Crusberg, M.D.
-
Ruth Ellen James, MD, MPH
-
Mary Ann Johnson, ARNP
-
Jameson Aram Lassor, APRN
-
Julie E Mills, LICSW
-
Colleen Marguerite Packard, MS, MPH, FNP-C
-
Janna Thompson, APRN
-
Jennifer Branson, APRN, FNP-C, WHNP-BC
-
Ana M Goubert, M.D.
-
Nelly Padua, NP
-
Rebecca E Rouse, MD
-
Maureen Sunnerberg, ARNP
-
Gabrielle Rose Tracy, APRN
-
Caille S Roy, FNP-BC
-
Kathryn Bonafede, MD
-
Casey Brighton, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH
Federally qualified health center certification: CCN 301800
- Legal name
- LAMPREY HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 1, 1991
- Last certification
- Oct 1, 1991
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 16, 1971 in NH
- Enrollment address
- 128 Route 27
Raymond, NH 30771220
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas Drew |
Corporate Director | Sep 29, 2010 | |
| Susan Webster |
W-2 Managing Employee | Jun 1, 2006 | |
| Amanda Pears Kelly |
Corporate Director |
Jan 1, 2016 | |
| Arvind Ranade |
Corporate Director |
Jan 1, 2016 | |
| Raymond Goodman |
Corporate Director |
Sep 25, 2012 | |
| Michael Merenda |
Corporate Director |
Sep 26, 2012 | |
| Frank Goodspeed |
Corporate Director |
Nov 20, 2013 | |
| Evalie Crosby |
Corporate Officer |
Feb 15, 2016 | |
| Elizabeth Crepeau |
Corporate Director |
Oct 28, 2009 | |
| Audrey Ashton-Savage |
Corporate Director |
Nov 20, 2013 | |
| Gregory White |
Corporate Officer |
Oct 15, 2013 | |
| Mark Howard |
Corporate Director |
Nov 20, 2013 | |
| Janis Reams |
Corporate Director | Oct 24, 2012 | |
| Carol Lacross |
Corporate Director |
Oct 24, 2012 | |
| Anita Rozeff |
W-2 Managing Employee | Jun 1, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040811000796 | NH | Part B Supplier - Clinic/Group Practice | 3577535319 |
Receives reassigned benefits from 56 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newmarket, NH; Raymond, NH; Nashua, NH; Derry, NH |
| O20060901000350 | NH | Part a Provider - Federally Qualified Health Center (FQHC) | 3577535319 |
1 other NPI on this enrollment Practice locations: Raymond, NH |
National Provider Directory
- Part of
- Susan M Krolewski
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Registered Dietitian |
133V00000X | |||
| Family Medicine Physician |
207Q00000X | 01196 | NH | |
| Obstetrics & Gynecology Physician |
207V00000X | 01196 | NH | |
| Pediatrics Physician |
208000000X | 01196 | NH | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Physician Assistant |
363A00000X | 01196 | NH | |
| Nurse Practitioner |
363L00000X | 01196 | NH | |
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
128 Route 27
Raymond, NH 03077-1220
Mailing address
128 Route 27
Raymond, NH 03077-1220
Phone (603) 895-3351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3073149 | Medicaid | NH |
Other providers in Raymond, NH
- L. John Klunk
- Mark Koenig
- Lamprey Family Dental LLC
- Lamprey Health Care Inc
- Lamprey Health Care Inc
- Kelly Marie Langevin
- Jameson Aram Lassor
- Jennifer Anne Lecky
- Dana A Leverone
- Living in Balance Health Center, P.a.
All providers in Raymond, NH · Federally Qualified Health Center (FQHC) in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.