Primary Health Network

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 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

Jun 28, 2007

Last updated

Apr 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geaorge C. Garrow, MD

Title

Chief Executive Officer

Phone

(724) 342-3002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Andover Primary Care Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821295387. Details of each certification follow.

• CCN 361914 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 361914

Legal name

PRIMARY HEALTH NETWORK

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 16, 2006

Last certification

Aug 16, 2006

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 19, 1983 in PA

Enrollment address

5594 State Route 7
Andover, OH 44003-9490

Related CCNs

361819

Tax ID family

Primary Health Network54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

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

• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Andover, OH
  • NPI 1114140332
  NPD tax ID
• Primary Health Network

  dba Ashtabula Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Rome, OH
  • NPI 1699080911
  NPD tax ID

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.

Owners & managing parties with NPI records 3

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

• George Capella Garrow, MD

  • Internal Medicine Physician
  • Sharon, PA
  • NPI 1003892589

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Cynthia D Novotny, PA-C

  • Physician Assistant
  • Meadville, PA
  • NPI 1093798837

  Corporate Director

  CMS ownership
• Beth A. White, CRNP

  • Nurse Practitioner
  • Lewistown, PA
  • NPI 1740411479

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1821295387",
    "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": "5594 STATE ROUTE 7",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039490",
            "telephone_number": "440-293-2444",
            "fax_number": "440-293-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "GARROW",
        "authorized_official_first_name": "GEAORGE",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007578460103",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2690566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andover Primary Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Andover Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lori Nanette Patterson, RN
• Heather Helen Pavlovski, RN
• Jay Edward Paxton, PTA
• Edward J. Pollander, D.D.S.
• Primary Health Network
• Stephanie Profera
• Pymatuning Ambulance Service
• Pymatuning Valley Local School District
• Renal Treatment Centers-Illinois Inc. (Andover Dialysis)
• Samantha Noel Rickert

• Federally Qualified Health Center (FQHC) in Andover, OH
• Providers in Andover, OH by specialty
• Federally Qualified Health Center (FQHC) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.