NPIMap

Organization Active NPI

Primary Care Health Services, Inc.

Doing business as Absolute Care

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
National Provider Identifier
1326815754
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY CARE HEALTH SERVICES, INC.
Doing business as
Absolute Care
Practice address
7301 Penn Ave
Pittsburgh, PA 15208-2528
Phone
(412) 517-3000
Fax
(412) 517-6753
NPI assigned
Dec 6, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMARY CARE HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Jerome Gloster, MD,MSNPI 1821057126
Title
Ceo
Phone
(412) 244-4980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7301 Penn Ave
Pittsburgh, PA 15208-2528

Mailing address

7227 Hamilton Ave
Pittsburgh, PA 15208-1814
Phone (412) 244-4988

Other names 1

  • Absolute Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007000177 PA Part A Provider - Federally Qualified Health Center (FQHC) 7012825722 Practice locations: Pittsburgh, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326815754. Details of each certification follow.

Federally qualified health center certification: CCN D31019

Legal name
PRIMARY CARE HEALTH SERVICES, INC.
Doing business as
ABSOLUTE CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 14, 2024
Last certification
Oct 14, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
7301 Penn Ave
Pittsburgh, PA 15208-2528

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Health SVC16 organizations share this tax ID, including this one
Part of
Primary Care Health SVC

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1014 Sheffield St
Pittsburgh, PA 15233
Phone (412) 231-6700

1101 N Murtland St
Pittsburgh, PA 15208
Phone (412) 361-0909

117 N Negley Ave
Pittsburgh, PA 15206
Phone (412) 404-4000

415 Neptune St
Pittsburgh, PA 15220
Phone (412) 921-7200

300 Rankin Blvd
Rankin, PA 15104
Phone (412) 351-4555

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Tawnya R. Farris Individual Corporate Director Sep 27, 2010
Carolyn Vera Callahan Individual Corporate Director Sep 27, 2010
John Hollis Individual Operational/Managerial ControlCoo Sep 1, 2019
Judith Ginyard Individual Corporate Director Sep 27, 2010
Lea Blumenfeld Individual Corporate Director Feb 19, 2019
Jerome E Gloster Individual Corporate DirectorCeo Apr 1, 2018
Richard M. Adams Individual Corporate Director Sep 27, 2010

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1326815754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 HAMILTON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152081814",
            "telephone_number": "412-244-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082528",
            "telephone_number": "412-517-3000",
            "fax_number": "412-517-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE HEALTH SERVICES, INC",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "GLOSTER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-244-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,MS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.