Healthcare Provider Details

I. General information

NPI: 1093080707
Provider Name (Legal Business Name): HEALTHFIRST FAMILY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 STRAFFORD ST
LACONIA NH
03246-4701
US

IV. Provider business mailing address

841 CENTRAL ST
FRANKLIN NH
03235-2026
US

V. Phone/Fax

Practice location:
  • Phone: 603-366-1070
  • Fax: 603-366-1071
Mailing address:
  • Phone: 603-934-0177
  • Fax: 603-934-2805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: RUSSELL KEENE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 603-934-0177