Primary Health Network
Organization Active NPI Federally Qualified Health Center (FQHC) · Transfer, PA
NPI 1043489511 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1043489511
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PRIMARY HEALTH NETWORK
- Practice address
- 1291 Rutledge Rd
Transfer, PA 16154-2225 - Phone
- (724) 962-3553
- Fax
- (724) 962-3630
- NPI assigned
- Feb 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Carl A Sizer III, CPA
- Title
- Chief Financial Officer
- Phone
- (724) 342-0126
Owners & managing parties with NPI records 3
-
Cynthia D Novotny, PA-C
-
Beth A. White, CRNP
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Federally qualified health center certification: CCN 391974
- Legal name
- PRIMARY HEALTH NETWORK
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 23, 2007
- Last certification
- Aug 23, 2007
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 19, 1983 in PA
- Enrollment address
- 225 Edgewood Drive Ext
Transfer, PA 16154-1817
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas McKinley |
Corporate Director |
May 28, 2025 | |
| Anthony Kos |
Corporate Director |
Oct 1, 2011 | |
| Rebekah Flanders |
Corporate Director |
Jun 23, 2021 | |
| Lizette Olson |
Corporate Director |
Jan 27, 2021 | |
| George Capella Garrow |
Corporate Officer |
Jun 1, 2022 | |
| W-2 Managing Employee |
Jun 1, 2022 | ||
| Kavon Wright |
Corporate Director |
May 26, 2021 | |
| Nanda Chuwan |
Corporate Director |
Oct 1, 2017 | |
| Iffath Syed |
Corporate Director |
May 28, 2025 | |
| Steven Davis |
Corporate Director |
May 28, 2025 | |
| Marie Timpano |
Corporate Director |
May 28, 2025 | |
| Thomas Scott |
Corporate Director |
Sep 1, 2010 | |
| Dana L Reeher |
Corporate Director |
Mar 22, 2023 | |
| Cynthia D Novotny |
Corporate Director |
Feb 28, 2026 | |
| Beth Ann White |
Corporate Director |
Oct 27, 2021 | |
| Jennifer Winchester |
Corporate Director |
Nov 16, 2022 | |
| Jeffrey Baughman |
Corporate Director |
Jul 28, 2021 | |
| Daniel D Blough |
Corporate Director |
Aug 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000553 | PA | Part B Supplier - Clinic/Group Practice | 9234046228 |
Receives reassigned benefits from 165 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rochester, PA; Lewistown, PA; Mercer, PA; Minersville, PA; New Castle, PA; Oil City, PA; Petrolia, PA; Punxsutawney, PA… |
| O20070807000365 | PA | Part a Provider - Federally Qualified Health Center (FQHC) | 9234046228 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Transfer, PA |
National Provider Directory
- Tax ID family
- Primary Health Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1291 Rutledge Rd
Transfer, PA 16154-2225
Mailing address
63 Pitt St
Sharon, PA 16146-2102
Phone (724) 342-3002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089582 | Medicaid | OH | |
| 1007578460080 | Medicaid | PA |
Other names
- Transfer Health Center
Other providers in Transfer, PA
- Tammy Harris Lantz
- Daryl W List
- Robin Deen Molaskey
- Nystrom and Eckard
- Joel Erik Nystrom
- Primary Health Network
- Tracey Lynn Rusnak
- SBW Pharmacy, Inc.
- Shenango Valley Anesthesia Inc
- John Sonoga
All providers in Transfer, PA · Federally Qualified Health Center (FQHC) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.