Provider Demographics
NPI:1114935871
Name:GREATER SEACOAST COMMUNITY HEALTH
Entity Type:Organization
Organization Name:GREATER SEACOAST COMMUNITY HEALTH
Other - Org Name:FAMILIES FIRST HEALTH & SUPPORT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT ACCOUNT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-516-2576
Mailing Address - Street 1:311 ROUTE 108
Mailing Address - Street 2:
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878-1522
Mailing Address - Country:US
Mailing Address - Phone:603-422-8208
Mailing Address - Fax:603-422-8219
Practice Address - Street 1:8 GREENLEAF WOODS DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5436
Practice Address - Country:US
Practice Address - Phone:603-422-8208
Practice Address - Fax:603-422-8218
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREATER SEACOAST COMMUNITY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-04
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3111930Medicaid
ME432476900Medicaid
301814Medicare Oscar/Certification
NH30511793Medicaid