NPIMap

Organization Active NPI

Southern Tier Community Health Center Network, Inc.

Doing business as Universal Primary Care

  • Federally Qualified Health Center (FQHC)
  • Olean, NY
National Provider Identifier
1184654477
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0401201R Issued in NY
Legal business name
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.
Doing business as
Universal Primary Care
Practice address
135 N Union St
Olean, NY 14760-2736
Phone
(716) 375-7500
Fax
(716) 701-6853
NPI assigned
Jul 3, 2006
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Brett Lawton
Title
Ceo
Phone
(716) 375-7500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0401201R NY Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

135 N Union St
Olean, NY 14760-2736

Mailing address

135 N Union St
Olean, NY 14760-2736
Phone (716) 375-7500

Other practice location 1

159 Interstate Pkwy
Bradford, PA 16701-1013
Phone (716) 375-7500

Other identifiers 1

IdentifierTypeStateIssuer
02587231MedicaidNY

Other names 1

  • Universal Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040731000008 NY Part B Supplier - Clinic/Group Practice 3375513724 Receives reassigned benefits from 41 practitioners
Practice locations: Olean, NY; Salamanca, NY; Houghton, NY; Cuba, NY
O20090406000298 NY Part A Provider - Federally Qualified Health Center (FQHC) 3375513724 Practice locations: Olean, NY
O20090526000239 NY Part A Provider - Federally Qualified Health Center (FQHC) 3375513724 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houghton, NY
O20191016001181 PA Part B Supplier - Clinic/Group Practice 3375513724 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Bradford, PA
O20191021003136 PA Part A Provider - Federally Qualified Health Center (FQHC) 3375513724 Practice locations: Bradford, PA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1184654477. Details of each certification follow.

Federally qualified health center certification: CCN 331001

Legal name
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC
Doing business as
UNIVERSAL PRIMARY CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 22, 2009
Last certification
Apr 22, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2004 in NY
Enrollment address
135 N Union St
Olean, NY 14760-2736

Federally qualified health center certification: CCN 331003

Legal name
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 26, 2009
Last certification
May 26, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2004 in NY
Enrollment address
9864 Luckey Dr
Houghton, NY 14744-8706

Federally qualified health center certification: CCN 391148

Legal name
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC
Doing business as
UNIVERSAL PRIMAY CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 9, 2019
Last certification
Oct 9, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 10, 2004 in NY
Enrollment address
159 Interstate Pkwy
Bradford, PA 16701-1013

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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
39D2176162Southern Tier Community Health159 Interstate Parkway, Bradford, PA 16701Provider-performed microscopyDec 9, 2027

National Provider Directory

National Provider Directory

Locations

132 W Main St
Cuba, NY 14727

140 W Main St
#1
Cuba, NY 14727

135 N Union St
Olean, NY 14760

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Jodie Wagner Individual Corporate OfficerChro Aug 1, 2022
W-2 Managing EmployeeChro Aug 1, 2022
Tina Cary Individual Corporate DirectorBoard of Directors Secretary Mar 20, 2023
Corporate Director Mar 20, 2023
Corporate Director Oct 25, 2021
Michael Austin Individual Corporate OfficerCoo Jan 23, 2023
W-2 Managing EmployeeCoo Jan 23, 2023
Bonnie Saunders Individual Corporate Director Mar 1, 2017
Corporate Director Jun 1, 2014
Kristy Finch Individual W-2 Managing EmployeeProvider Enrollment Specialist Nov 28, 2022
Jill Yehl Individual Corporate DirectorDirector of Revenue Cycle Feb 21, 2014
W-2 Managing Employee Feb 21, 2014
Paula Snyder Individual Corporate Director Mar 26, 2009
Corporate Director Apr 6, 2009
Corporate Director Jun 25, 2005
Belinda Knight Individual Corporate DirectorVice Chair Mar 1, 2016
Corporate Director Mar 1, 2016
Corporate DirectorVice Chair Sep 1, 2014
Brett L Lawton Individual Corporate OfficerCeo Apr 12, 2021
W-2 Managing EmployeeCeo Apr 12, 2021
Operational/Managerial ControlCeo Apr 12, 2021
Christopher Chase Individual Corporate OfficerCfo Nov 8, 2021
W-2 Managing EmployeeCfo Nov 8, 2021
Contracted Managing EmployeeAd; Nov 8, 2021
Tina Zerbian Individual Corporate Director Mar 26, 2009
Corporate Director Apr 6, 2009
Corporate Director Jun 25, 2005
Gail Speedy Mayeaux Individual Corporate DirectorTreasurer Nov 29, 2021
Michael Hoffman Individual Corporate DirectorChairman Dec 3, 2020
Ethan Lyle Individual Corporate Director Aug 23, 2021
Kara Stimson Individual Corporate Director Nov 1, 2023
Jose Soto Individual Corporate Director Jun 30, 2025
Tyler Shaw Individual Corporate Director Feb 27, 2023
Denise Bartoszek Individual Corporate Director Oct 1, 2023
Corporate DirectorTreasurer Oct 1, 2023
Jessica Anderson Individual Corporate Director Apr 29, 2024
Vicki Grant Individual Corporate Director Feb 27, 2023
Kevin Watkins Individual Corporate Director Jan 1, 2012

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1184654477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-375-7500",
            "fax_number": "716-701-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-375-7500",
            "fax_number": "716-701-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011013",
            "country_code": "US",
            "telephone_number": "716-375-7500",
            "fax_number": "716-701-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "LAWTON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-375-7500"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "0401201R",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Universal Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.