NPIMap

Organization Active NPI

Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Altoona, PA
National Provider Identifier
1063641470
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY HEALTH NETWORK
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(814) 942-5000
Fax
(814) 942-9500
NPI assigned
Jul 7, 2009
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George C. Garrow, MDNPI 1003892589
Title
Chief Executive Officer
Phone
(724) 342-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X PA Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

63 Pitt St
Sharon, PA 16146-2102
Phone (724) 342-3002

Other identifiers 1

IdentifierTypeStateIssuer
1007578460095MedicaidPA

Other names 1

  • Altoona Behavioral Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20091117000559 PA Part A Provider - Federally Qualified Health Center (FQHC) 9234046228 Practice locations: Altoona, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063641470. Details of each certification follow.

Federally qualified health center certification: CCN 391002

Legal name
PRIMARY HEALTH NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 2010
Last certification
Jan 1, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1983 in PA
Enrollment address
620 Howard Ave
Altoona, PA 16601-4804

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2304211Altoona Behavioral Health620 Howard Ave, Altoona, PA 16601Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Network54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas McKinley Individual Corporate DirectorBoard Member May 28, 2025
Anthony Kos Individual Corporate DirectorBoard Member Oct 1, 2011
Rebekah Flanders Individual Corporate DirectorBoard Member Jun 23, 2021
Lizette Olson Individual Corporate DirectorBoard Member Jan 27, 2021
George Capella Garrow Individual Corporate OfficerCeo Jun 1, 2022
W-2 Managing EmployeeCeo Jun 1, 2022
Kavon Wright Individual Corporate DirectorBoard Member May 26, 2021
Nanda Chuwan Individual Corporate DirectorBoard Member Oct 1, 2017
Iffath Syed Individual Corporate DirectorBoard Member May 28, 2025
Steven Davis Individual Corporate DirectorBoard Member May 28, 2025
Marie Timpano Individual Corporate DirectorBoard Member May 28, 2025
Thomas Scott Individual Corporate DirectorBoard Member Sep 1, 2010
Dana L Reeher Individual Corporate DirectorBoard Member Mar 22, 2023
Cynthia D Novotny Individual Corporate DirectorBoard Member Feb 28, 2026
Beth Ann White Individual Corporate DirectorBoard Member Oct 27, 2021
Jennifer Winchester Individual Corporate DirectorBoard Member Nov 16, 2022
Jeffrey Baughman Individual Corporate DirectorBoard Member Jul 28, 2021
Daniel D Blough Individual Corporate DirectorBoard Member Aug 1, 2012

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1063641470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-342-3002",
            "fax_number": "724-342-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-942-5000",
            "fax_number": "814-942-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "GARROW",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-342-3002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007578460095",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altoona Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.