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NPI Code Detail

MEDICARE: PRIMARY HEALTH NETWORK

MEDICARE: PRIMARY HEALTH NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

General Provider Information

NPI Number : 1699080911
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY HEALTH NETWORK
Provider Business Mailing Address
First Line : 63 PITT ST
Second Line :
City : SHARON
State : PA
Zip : 16146-2102
Country : US
Telephone Number : 724-342-3002
Fax Number : 724-342-1942
Provider Business Practice Location Address
First Line : 5266 STATE ROUTE 45
Second Line :
City : ROME
State : OH
Zip : 44085-9404
Country : US
Telephone Number : 440-563-5028
Fax Number : 440-563-3044
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. CARL A SIZER III
Credential : CPA
Telephone Number : 724-342-0126
Provider Enumeration Date : 08/11/2010
Last Update Date : 07/20/2022

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Directions to “PRIMARY HEALTH NETWORK ” Practice Location

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