GOODWIN COMMUNITY HEALTH (GREATER SEACOAST COMMUNITY HEALTH) NPI 1578854287

Clinic/Center (Federally Qualified Health Center (FQHC)) in Somersworth, NH

NPI 1578854287 Organization Clinic/Center Federally Qualified Health Center (FQHC) CLIA Number 30D0087053 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About GOODWIN COMMUNITY HEALTH (GREATER SEACOAST COMMUNITY HEALTH)

Goodwin Community Health (greater Seacoast Community Health) is a primary care provider established in Somersworth, New Hampshire specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Goodwin Community Health (greater Seacoast Community Health) is 1578854287 and was assigned on April 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Goodwin Community Health. The authorized official of this NPI record is Ms. Janet Laatsch Rn, Mba (Ceo)

A primary care provider (PCP) like Goodwin Community Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Goodwin Community Health is 30D0087053 registered as a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Goodwin Community Health in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1578854287

Provider NameGOODWIN COMMUNITY HEALTH (GREATER SEACOAST COMMUNITY HEALTH)
Provider Location Address311 ROUTE 108 SOMERSWORTH, NH 03878
Provider Mailing Address311 ROUTE 108 SOMERSWORTH, NH 03878
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameGOODWIN COMMUNITY HEALTH
Other Name TypeDoing Business As (3)
Enumeration Date04-28-2011
Last Update Date04-05-2018


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

GOODWIN COMMUNITY HEALTH
311 ROUTE 108
SOMERSWORTH, NH
ZIP 03878
Phone: (603) 749-2346
Fax: (603) 953-0066

Get Directions


Mailing Address

GOODWIN COMMUNITY HEALTH
311 ROUTE 108
SOMERSWORTH, NH
ZIP 03878
Phone: (603) 749-2346
Fax: (603) 953-0066



Authorized Official

Authorized Official NameMS. JANET LAATSCH RN, MBA
Authorized Official TitleCEO
Authorized Official Phone(603) 516-2550

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1578854287 is:

CLIA Number30D0087053
Facility TypeCOMMUNITY CLINIC
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalNo

Taxonomy Description: Not Available

2261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)No

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
999909035MEDICAID (05)ME
1578854287001MEDICAID (05)NH
30518911MEDICAID (05)NH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306822168 DIANE B. BERNARD PA
Individual
Physician Assistant (Medical)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1215914718 MICHAEL THOMPSON MD
Individual
Family Medicine311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1750368338 DEBRA ANN LEARMONTH ARNP
Individual
Nurse Practitioner (Primary Care)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1174687362MS. ELAINE M BENSON LCMHC LADC
Individual
Counselor (Mental Health)311 ROUTE 108 SUITE 204
SOMERSWORTH, NH 03878
(603) 742-9200
1952592180AVIS GOODWIN COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Community Health)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1083805782DR. WHITNEY E GOODE DMD
Individual
Dentist311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1003003633DR. LISA SLAUGHTER D.M.D.
Individual
Dentist311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1144478686MRS. MARIA ALEJANDRA MARTIN PA-C
Individual
Physician Assistant (Medical)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1275802928 PATRICIA E FILLIO LCMHC
Individual
Counselor (Mental Health)311 ROUTE 108 SUITE 204
SOMERSWORTH, NH 03878
(603) 742-9200
1467436089GOODWIN COMMUNITY HEALTH
Organization
Clinic/Center (Community Health)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1346438975GREAT BAY MENTAL HEALTH ASSOC INC
Organization
Psychiatry & Neurology (Psychiatry)311 ROUTE 108 SUITE 204
SOMERSWORTH, NH 03878
(603) 742-9200
1326309964DR. GREGORY ALBERT FREDETTE D.M.D.
Individual
Dentist311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1477693182 GERTRUDE JOHANNA TRUMPY PA
Individual
Physician Assistant (Medical)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1497208391 MONICA M LORD NURSE PRACTITIONER
Individual
Nurse Practitioner (Community Health)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 953-0065
1528573540 JOHN BURNS CRSW
Individual
Community Health Worker311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 953-0065
1972018885 DEIRORE A BORYSZEWSKI CRSW
Individual
Community Health Worker311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1215442124 LAINA M REAVIS
Individual
Community Health Worker311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1255790127 PAIGE E WILDER APRN, NP-C
Individual
Nurse Practitioner (Family)311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1518073568 DAVID LUNIANSKI DO
Individual
Family Medicine311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346
1093299539 CHRISTOPHER PAUL TRASK LADC
Individual
Counselor (Addiction (Substance Use Disorder))311 ROUTE 108
SOMERSWORTH, NH 03878
(603) 749-2346

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.