NPIMap

Organization Active NPI

Primary Health Network

Doing business as Titusville Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Titusville, PA
National Provider Identifier
1508182841
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY HEALTH NETWORK
Doing business as
Titusville Community Health Center
Practice address
401 W Spring St
Titusville, PA 16354-2169
Phone
(814) 827-8400
Fax
(814) 827-8405
NPI assigned
Apr 12, 2010
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Mr. Carl A Sizer III, CPA
Title
Chief Financial Officer
Phone
(724) 342-0126

Specialties & licenses 1

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

Addresses

Primary practice location

401 W Spring St
Titusville, PA 16354-2169

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1007578460102MedicaidPA

Other names 1

  • TITUSVILLE COMMUNITY HEALTH CENTER Doing business as

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

401 W Spring St
Titusville, PA 16354
Phone (814) 827-5719

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1508182841",
    "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": "401 W SPRING ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542169",
            "telephone_number": "814-827-8400",
            "fax_number": "814-827-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "SIZER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "724-342-0126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPA"
    },
    "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": "1007578460102",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TITUSVILLE COMMUNITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TITUSVILLE COMMUNITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.