NPIMap

Organization Active NPI

Southern Tier Community Health Center Network, Inc.

  • Dental Clinic/Center
  • Bradford, PA
National Provider Identifier
1962399394
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.
Practice address
23 Kennedy St Ste 101
Bradford, PA 16701-2065
Phone
(716) 375-7500
NPI assigned
Jun 19, 2025
Organization subpart
Yes
Parent organization
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Sarah Erwin
Title
Revenue Cycle Analyst
Phone
(716) 375-7500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Dental Clinic/Center 261QD0000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

23 Kennedy St Ste 101
Bradford, PA 16701-2065

Mailing address

135 N Union St
Olean, NY 14760-2736

Other identifiers 1

IdentifierTypeStateIssuer
02587231MedicaidNY

Other names 1

  • Universal Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191016001181 PA Part B Supplier - Clinic/Group Practice 3375513724 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bradford, PA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Southern Tier Community4 organizations share this tax ID, including this one
Part of
Southern Tier Community

Other organizations with this tax ID 3

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

Locations

9864 Luckey Dr
Houghton, NY 14744

Practitioners & affiliated clinicians

Practitioners 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1962399394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KENNEDY ST STE 101",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012065",
            "telephone_number": "716-375-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "REVENUE CYCLE ANALYST",
        "authorized_official_telephone_number": "716-375-7500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.