NPIMap

Organization Active NPI

Healthfirst Family Care Center, Inc.

Doing business as Isaiah 61 Cafe

  • Federally Qualified Health Center (FQHC)
  • Laconia, NH
National Provider Identifier
1972203347
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHFIRST FAMILY CARE CENTER, INC.
Doing business as
Isaiah 61 Cafe
Practice address
100 New Salem St
Laconia, NH 03246-3356
Phone
(603) 524-6161
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHFIRST FAMILY CARE CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Margaret Samaha
Title
Finance Manger
Phone
(603) 934-0177

Specialties & licenses 1

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

Addresses

Primary practice location

100 New Salem St
Laconia, NH 03246-3356

Mailing address

841 Central St Ste 101
Franklin, NH 03235-2053
Phone (606) 934-1464

Other names 1

  • Isaiah 61 Cafe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041117000908 NH Part B Supplier - Clinic/Group Practice 4183688211 Receives reassigned benefits from 31 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laconia, NH; Franklin, NH
O20240307001959 NH Part A Provider - Federally Qualified Health Center (FQHC) 4183688211 Practice locations: Laconia, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972203347. Details of each certification follow.

Federally qualified health center certification: CCN 301035

Legal name
HEALTHFIRST FAMILY CARE CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 5, 2024
Last certification
Sep 5, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
100 New Salem St
Laconia, NH 32463356

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Healthfirst Family Care3 organizations share this tax ID, including this one
Part of
Healthfirst Family Care

Other organizations with this tax ID 2

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

Locations

175 Central St
Franklin, NH 03235
Phone (603) 286-4255

841 Central St
#101
Franklin, NH 03235
Phone (603) 934-1464

100 New Salem St
Laconia, NH 03246
Phone (603) 524-6161

22 Strafford St
Ste 1
Laconia, NH 03246
Phone (603) 366-1070

40 Beacon St E
Laconia, NH 03246

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Stephanie Wolff Individual Corporate DirectorDirector Feb 1, 2023
Michael Stanley Individual Corporate DirectorVice Chair Jul 1, 2012
Dawn Sanchez Individual Corporate DirectorDirector Jul 1, 2020
Scott Burns Individual Corporate DirectorDirector Jun 1, 2015
Michael B Watto Individual Corporate DirectorMedical Director Jan 1, 2023
Peter Thurber Individual Corporate DirectorDirector Jan 1, 2024
Dennis Swett Individual Corporate DirectorDirector Jan 1, 2023
James Wells Individual Corporate DirectorChair Mar 1, 2005
Michelle Lennon Individual Corporate DirectorDirector Jun 1, 2015
William Warren Individual Corporate DirectorDirector Jan 1, 2024
Lucy Grimard Individual Corporate OfficerDirector of Revenue Services Jun 30, 2024
W-2 Managing EmployeeDirector of Revenue Services Jun 30, 2024
Robert J. St. Jacques Individual Corporate DirectorDirector Jun 1, 2017
Matthew B Mackwood Individual Corporate DirectorDirector Jan 1, 2024
Ted Bolognani Individual Corporate OfficerCeo Jun 30, 2024
W-2 Managing EmployeeCeo Jun 30, 2024
Susan Lunt Individual Corporate DirectorDirector May 1, 2018
Melissa Frenette Individual Corporate DirectorDirector of Finance Jul 15, 2024
W-2 Managing EmployeeDirector of Finance Jul 15, 2024
Jennifer Ach Individual Corporate DirectorQuality Chair Jul 1, 2024
Susan Wnuk Individual Corporate DirectorDirector Mar 1, 2009
Myla H Harriett Everett Individual Corporate DirectorDirector Oct 1, 2019

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 289

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.

View all 289

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1972203347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 CENTRAL ST STE 101",
            "city": "FRANKLIN",
            "state": "NH",
            "postal_code": "032352053",
            "telephone_number": "606-934-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463356",
            "telephone_number": "603-524-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFIRST FAMILY CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHFIRST FAMILY CARE CENTER, INC.",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "SAMAHA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "FINANCE  MANGER",
        "authorized_official_telephone_number": "603-934-0177"
    },
    "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": "Isaiah 61 Cafe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.