NPIMap

Organization Active NPI

Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Aliquippa, PA
National Provider Identifier
1992073183
Registry record updated Apr 24, 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
99 Autumn St
Aliquippa, PA 15001-1301
Phone
(724) 857-3570
Fax
(724) 857-3574
NPI assigned
Dec 2, 2011
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 3

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

Corporate family (same tax ID) 12

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

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
39D0994301Autumn Street Health Ctr99 Autumn Street, Aliquippa, PA 15001Certificate of waiverNov 8, 2026

Medicare participation

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

Federally qualified health center certification: CCN 391027

Medicare enrollment files
Legal name
PRIMARY HEALTH NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2012
Last certification
May 1, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1983 in PA
Enrollment address
99 Autumn St
Aliquippa, PA 15001-1301

All disclosed owners & managing parties 17

Medicare enrollment files

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 Dec 12, 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 Director Dec 12, 2011
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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20120530000258 PA Part a Provider - Federally Qualified Health Center (FQHC) 9234046228 Practice locations: Aliquippa, PA

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Network (54 organizations share this tax ID)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

99 Autumn St
Aliquippa, PA 15001-1301

Mailing address

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

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0261071MedicaidOH
1007578460104MedicaidPA

Other names 1

NPPES NPI Registry
  • Autumn Street Health Center Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2026.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1992073183",
    "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": "99 AUTUMN ST",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011301",
            "telephone_number": "724-857-3570",
            "fax_number": "724-857-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "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": "0261071",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007578460104",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Street Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.