About Us


Healthy individuals, families, and communities with equitable and quality health care for all.


Advance access to comprehensive primary care services for all, with special emphasis on those most in need in Vermont and New Hampshire.


Bi-State is the Primary Care Association serving New Hampshire and Vermont. Bi-State provides training and technical assistance to Federally Qualified Health Centers and Look-Alikes to improve programmatic, clinical, operational, and financial performance.

Bi-State Staff

Website visitors have the right to request an interpreter for the website at no cost. Google translate is also embedded into the site – Google Chrome is the recommended browser for this function.

If you need assistance or don’t know who to contact, please call or email Clem Noone at: [email protected] or
(802) 229-0002 x 225


Kristen Bigelow-Talbert, MSHM, CPHQ
Senior Program Manager, Health Quality

(802) 229-0002 x 220


Colleen Dowling
Senior Project Coordinator, NH Public Policy
(603) 228-2830 x 127


Claire Hodgman, RACR
Recruitment Specialist
(603) 228-2830 x 115


Nancy Hoyt
Recruitment Coordinator for Behavioral Health & Substance Use Disorder Clinicians
(603) 228-2830 x 133


Crystal Islam
(603) 228-2830 x 142


Tea Islam

Administrative Assistant

(603) 228-2830 x 143


Beverly Kowarik
Executive Assistant to the President/CEO
(603) 228-2830 x 123


Tess Stack Kuenning, CNS, MS, RN
President and Chief Executive Officer
(603) 228-2830 x 112


Robin Lepage
(603) 228-2830 x 119


Georgia J. Maheras, Esq.
Senior Vice President of Policy and Strategy
(802) 229-0002 x 218


Kimberly Martin

Senior Director, Finance and Administration

Requests for employment verification for Bi-State employees should be directed to Kim Martin.
(603) 228-2830 x 122


Mary Kate Mohlman, PhD, MS
Director, Vermont Public Policy
802-229-0002 x 223


Susan J. Noon, MBA, APR
Director of Marketing and Development
(603) 228-2830 x 144


Clementine Noone
Vermont Administrative Assistant
(802)-229-0002 x 225


Stephanie Pagliuca
Senior Director, Workforce Development and Recruitment
(603) 228-2830 x 111


Suzanne Palmer
Executive Assistant, Office of Human Resources, Information Technology, Finance, and Business Development
(603) 228-2830 x 139

Lori H. Real, MHA

Executive Vice President, Talent and Culture, Finance, and Information Technology Privacy & Compliance Officer
(603) 228-2830 x 114


Rebecca Rocheleau
Health Policy Advisor
(603) 228-2830 x 141


Lauri Scharf, MS
Senior Program Manager, Health Care Informatics
(802) 229-0002 x 224


Anita Selec
Workforce Initiatives Facilitator
(802) 229-0002 x 230


Katherine Shamel, BSN, MSN

Program Manager, Workforce
(603) 228-2830 x 128


Kate Simmons, MBA, MPH
Senior Director, Operations
(802) 229-0002 x 217


Heather E. Skeels
Director, Health Data Operations; Project Director, VRHA
(802) 229-0002 x 210


Kristine E. Stoddard, Esq.
Senior Director, New Hampshire Public Policy
(603) 228-2830 x 113


Adam Woodall, CISSP, CSCS
Senior Manager, Information Technology and Security Compliance Officer


James Zibailo
Director, NH Community Health Systems
(603) 228-2830 x 124


Bi-State Recruitment Center

Bi-State’s Recruitment Center recruits health care providers nationally to work in NH and VT, builds pathways from education to employment, and supports policies that help recruit and retain our health care workforce.