Provider Demographics
NPI:1477101822
Name:FAMILY FIRST HEALTH CORPORATION
Entity Type:Organization
Organization Name:FAMILY FIRST HEALTH CORPORATION
Other - Org Name:FAMILY FIRST HEALTH LEBANON CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLERTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-801-4804
Mailing Address - Street 1:116 S GEORGE ST STE 301
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1443
Mailing Address - Country:US
Mailing Address - Phone:717-846-5846
Mailing Address - Fax:717-854-0377
Practice Address - Street 1:300 WILLOW ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-4871
Practice Address - Country:US
Practice Address - Phone:717-356-2222
Practice Address - Fax:855-717-5644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FQHC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-29
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)