Primary Health Network
Organization Active NPI Federally Qualified Health Center (FQHC) · Andover, OH
NPI 1114140332 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1114140332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PRIMARY HEALTH NETWORK
- Practice address
- 5594 State Route 7
Andover, OH 44003-9490 - Phone
- (440) 293-2444
- Fax
- (440) 293-2445
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Carl A Sizer III, CPA
- Title
- Chief Financial Officer
- Phone
- (724) 342-0126
Corporate family (same tax ID) 2
Practitioners 1
National Provider Directory
- Tax ID family
- Primary Health Network
Locations
169 N Clark St
Fresno, CA 93701
Phone (559) 485-4091
456 S Main St
Andover, OH 44003
Phone (440) 293-2444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
5594 State Route 7
Andover, OH 44003-9490
Mailing address
63 Pitt St
Sharon, PA 16146-2102
Phone (724) 342-3002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007578460103 | Medicaid | PA | |
| 0791871 | Medicaid | OH |
Other names
- Andover Primary Care
Other providers in Andover, OH
- Nicole Lynn Onderko
- Lori Nanette Patterson
- Heather Helen Pavlovski
- Jay Edward Paxton
- Edward J. Pollander
- Primary Health Network
- Stephanie Profera
- Pymatuning Ambulance Service
- Pymatuning Valley Local School District
- Renal Treatment Centers-Illinois Inc.
All providers in Andover, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.