Primary Health Network
Organization Active NPI Federally Qualified Health Center (FQHC) · Ebensburg, PA
NPI 1043711385 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1043711385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PRIMARY HEALTH NETWORK
- Practice address
- 152 Zeman Drive
Suite 301
Ebensburg, PA 15931-4130 - Phone
- (724) 704-8886
- Fax
- (724) 342-1942
- NPI assigned
- Feb 22, 2018
- Organization subpart
- No
Authorized official
- Name
- George C. Garrow, MD
- Title
- Chief Executive Officer
- Phone
- (724) 342-3002
Owners & managing parties with NPI records 3
-
Cynthia D Novotny, PA-C
-
Beth A. White, CRNP
Corporate family (same tax ID) 15
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2151224 | Ebensburg Health Center | Certificate of waiver | Jul 15, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Federally qualified health center certification: CCN 391108
- Legal name
- PRIMARY HEALTH NETWORK
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 19, 2018
- Last certification
- Mar 19, 2018
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 19, 1983 in PA
- Enrollment address
- 152 Zeman Drive
Ste 301
Ebensburg, PA 15931-4130
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 |
|---|---|---|---|---|
| O20180319002145 | PA | Part a Provider - Federally Qualified Health Center (FQHC) | 9234046228 | Practice locations: Ebensburg, 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
152 Zeman Drive
Suite 301
Ebensburg, PA 15931-4130
Mailing address
63 Pitt St
Sharon, PA 16146-2102
Phone (724) 342-3002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007578460127 | Medicaid | PA |
Other names
- Ebensburg Health Center
Other providers in Ebensburg, PA
- Daniel Pollino
- Renee Powell
- Elyse Powers
- Premier Podiatry Group PC
- Premier Podiatry Group PC
- Prodigy Dialysis
- Nedward Prostejovsky
- Erin Quick
- Jodi M Rager
- Miles E Ranck III
All providers in Ebensburg, 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 Apr 24, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.