Provider Demographics
NPI:1720142490
Name:FAMILY FIRST HEALTH CORPORATION
Entity Type:Organization
Organization Name:FAMILY FIRST HEALTH CORPORATION
Other - Org Name:FAMILY FIRST HEALTH - HANNAH PENN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/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:707-801-4804
Mailing Address - Street 1:116 S GEORGE ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1408
Mailing Address - Country:US
Mailing Address - Phone:717-846-5846
Mailing Address - Fax:717-854-0377
Practice Address - Street 1:415 E BOUNDARY AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2811
Practice Address - Country:US
Practice Address - Phone:717-843-5174
Practice Address - Fax:855-732-3409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
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)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007548530004Medicaid
PA1145770OtherAMERIHEALTH
PA0069099003OtherAMERIHEALTH 65
PA50047910OtherCBC-KEYSTONE
PA391885Medicare PIN