NPIMap

Organization Active NPI

Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Erie, PA
National Provider Identifier
1831484922
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH NET
Practice address
2120 E 10TH St
Erie, PA 16511-3111
Phone
(814) 455-7222
Fax
(814) 456-2375
NPI assigned
Jun 16, 2011
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Craig A Ulmer
Title
Ceo
Phone
(814) 454-4530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2120 E 10TH St
Erie, PA 16511-3111

Mailing address

PO Box 369
Erie, PA 16512-0369
Phone (814) 454-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031222000617 PA Part B Supplier - Clinic/Group Practice 1759290588 Receives reassigned benefits from 29 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harborcreek, PA; Erie, PA; Girard, PA
O20260112003431 PA Part A Provider - Federally Qualified Health Center (FQHC) 1759290588 Practice locations: Erie, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831484922. Details of each certification follow.

Federally qualified health center certification: CCN D31063

Legal name
COMMUNITY HEALTH NET
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 23, 2026
Last certification
Mar 23, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2120 E 10TH St
Erie, PA 16511-3111

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community Health Net6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1135 Lake St
Ste 2
Girard, PA 16417
Phone (814) 454-4530

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Lori Dever Individual W-2 Managing Employee Nov 1, 2021
Phil Cardella Individual Corporate OfficerChief Financial Officer Feb 1, 2022
W-2 Managing EmployeeCfo Feb 1, 2022
Operational/Managerial ControlCfo Feb 1, 2022
Craig Ulmer Individual Corporate OfficerCeo Apr 10, 2017
W-2 Managing EmployeeCeo Apr 10, 2017
Operational/Managerial ControlCeo Apr 10, 2017
Mary F Howick Individual Corporate DirectorMedical Director Nov 4, 2024
Linda Pinnell Individual W-2 Managing EmployeeCompliance Analyst Jan 11, 2019

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 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1831484922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165120369",
            "telephone_number": "814-454-4530",
            "fax_number": "814-456-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E 10TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165113111",
            "telephone_number": "814-455-7222",
            "fax_number": "814-456-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NET",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "ULMER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-454-4530"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.