NPIMap

Organization Active NPI

Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Shenandoah, PA
National Provider Identifier
1407359060
Registry record updated Apr 27, 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
115 N Main St
Shenandoah, PA 17976-1756
Phone
(570) 671-0300
Fax
(570) 671-0305
NPI assigned
Mar 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

115 N Main St
Shenandoah, PA 17976-1756

Mailing address

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

Other practice location 1

624 W Centre St
Shenandoah, PA 17976-1403
Phone (570) 671-0300

Other identifiers 1

IdentifierTypeStateIssuer
1007578460129MedicaidPA

Other names 1

  • Shenandoah Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627002554 PA Part A Provider - Federally Qualified Health Center (FQHC) 9234046228 Practice locations: Shenandoah, PA

Federally qualified health center certification: CCN 391114

Legal name
PRIMARY HEALTH NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 22, 2018
Last certification
Jun 22, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1983 in PA
Enrollment address
115 N Main St
Shenandoah, PA 17976-1756

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
39D2161312Shenandoah Community HLTH Ctr - Primary HLTH NTWK115 North Main St, Shenandoah, PA 17976Certificate of waiverJan 30, 2027

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 24

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

View all 24

Locations

115 N Main St
Shenandoah, PA 17976
Phone (570) 671-0300

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1407359060",
    "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": "115 N MAIN ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761756",
            "telephone_number": "570-671-0300",
            "fax_number": "570-671-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 W Centre St",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "PA",
            "postal_code": "179761403",
            "country_code": "US",
            "telephone_number": "570-671-0300",
            "fax_number": "570-671-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007578460129",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shenandoah, PA

Sources for this page

Verify at the official NPI Registry.