Organization Name: | PRIMARY HEALTH NETWORK |
NPI Number: | 1114188596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DREW C. PIERCE (CEO) |
Mailing Address: | 350 Sharon New Castle Rd Farrell |
State: | PA US |
Postal Code: | 161211576 |
Phone Number: | 7249811721 |
Fax Number: | 7249817025 |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |