Healthfirst Family Care Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Laconia, NH
NPI 1972203347 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1972203347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HEALTHFIRST FAMILY CARE CENTER, INC.
- Practice address
- 100 New Salem St
Laconia, NH 03246-3356 - Phone
- (603) 524-6161
- NPI assigned
- Mar 6, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTHFIRST FAMILY CARE CENTER, INC.
Authorized official
- Name
- Margaret Samaha
- Title
- Finance Manger
- Phone
- (603) 934-0177
Owners & managing parties with NPI records 3
-
Susan Lunt, MA, LCMHC, MLADC
-
Matthew Brian Mackwood, MD, MPH
-
Michael B Watto, DO
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 2
Practitioners 292
-
Alyssa Albro, APRN
-
Lisa B Baker, PA-C
-
Carly Rose Burke, APRN
-
Kimberly P Fader, ARNP
-
Megan Lewis, APRN
-
Cole A Mehr, PA-C
-
Victoria Nichols, APRN, FNP
-
Laurie Terwilliger, R.D, L.D
-
Jennifer Brown Tichich, ANP-BC
-
Laura Walker, LCMHC
-
Michael B Watto, DO
-
Elise Wojcik, DO
-
Richard M Young, APRN
-
Najia Dar, MD
-
Ellis Benjamin Gardner, MD FAAP
-
Kelley Watkins, APRN
-
Lydia Butner, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH
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
- Corporation · Non-profit
- Enrollment address
- 100 New Salem St
Laconia, NH 32463356
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Stephanie Wolff |
Corporate Director |
Feb 1, 2023 | |
| Michael Stanley |
Corporate Director |
Jul 1, 2012 | |
| Dawn Sanchez |
Corporate Director |
Jul 1, 2020 | |
| Scott Burns |
Corporate Director |
Jun 1, 2015 | |
| Michael B Watto |
Corporate Director |
Jan 1, 2023 | |
| Peter Thurber |
Corporate Director |
Jan 1, 2024 | |
| Dennis Swett |
Corporate Director |
Jan 1, 2023 | |
| James Wells |
Corporate Director |
Mar 1, 2005 | |
| Michelle Lennon |
Corporate Director |
Jun 1, 2015 | |
| William Warren |
Corporate Director |
Jan 1, 2024 | |
| Lucy Grimard |
Corporate Officer |
Jun 30, 2024 | |
| W-2 Managing Employee |
Jun 30, 2024 | ||
| Robert J. St. Jacques |
Corporate Director |
Jun 1, 2017 | |
| Matthew B Mackwood |
Corporate Director |
Jan 1, 2024 | |
| Ted Bolognani |
Corporate Officer |
Jun 30, 2024 | |
| W-2 Managing Employee |
Jun 30, 2024 | ||
| Susan Lunt |
Corporate Director |
May 1, 2018 | |
| Melissa Frenette |
Corporate Director |
Jul 15, 2024 | |
| W-2 Managing Employee |
Jul 15, 2024 | ||
| Jennifer Ach |
Corporate Director |
Jul 1, 2024 | |
| Susan Wnuk |
Corporate Director |
Mar 1, 2009 | |
| Myla H Harriett Everett |
Corporate Director |
Oct 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Healthfirst Family Care Center Inc
- Part of
- Healthfirst Family Care Center Inc
Locations
841 Central St
#101
Franklin, NH 03235
Phone (603) 934-1464
100 New Salem St
Laconia, NH 03246
Phone (603) 524-6161
40 Beacon St E
Laconia, NH 03246
17 Church St
Laconia, NH 03246
Phone (603) 366-1070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- Isaiah 61 Cafe
Other providers in Laconia, NH
- Kathleen P Hayward
- Healing Lakes Chiropractic LLC
- Healthfirst Dental Resource Center
- Healthfirst Family Care Center, Inc.
- Healthfirst Family Care Center, Inc.
- Lilly Andrews Hearn
- Christina Carol Heinecke
- Jennifer Irene Hewitt
- Lisa Hibbert
- Mal Higginson
All providers in Laconia, 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 Mar 6, 2023. 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.