PRIMARY HEALTH NETWORK (NPI# 1265639553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265639553 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH NETWORK |
| Other Organization Name | HOFFMAN MEMORIAL MEDICAL CENTER |
| Practice Address |
419 Kellys Way East Brady PA 16028-1404 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7245265600 |
| Practice Fax Number | 7245263289 |
| Mailing Telephone | 7247048886 |
| Mailing Fax Number | 7243421942 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | MR. THOMAS BURICH (CEO) |
| Authorized Official Telephone | 7243423002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | PA | Suppliers | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007578460023 | 05 |
| Other Name | Type Code |
|---|---|
| Hoffman Memorial Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179063 | Primary Health Network | Clinic/Center | 811 Grandview Rd Ste 100, Oil City, PA 16301-2077 | 2019-08-15 |
| 1649739319 | Primary Health Network | Clinic/Center | 120 S Martin St, Titusville, PA 16354-1850 | 2019-03-13 |
| 1043711385 | Primary Health Network | Clinic/Center | 152 Zeman Drive, Suite 301, Ebensburg, PA 15931-4130 | 2018-02-22 |
| 1043609480 | Primary Health Network | Clinic/Center | 1885 Market St Ste B, Warren, PA 16365-1278 | 2015-01-22 |
| 1295087617 | Primary Health Network | Clinic/Center | 1555 Shawna Rd., Cherry Tree, PA 15724-9003 | 2012-10-09 |
| 1396074324 | Primary Health Network | Clinic/Center | 802 Mckinley Street, Bolivar, PA 15923-0038 | 2009-12-22 |
| 1275730202 | Primary Health Network | Clinic/Center | 2000 Green St, Farrell, PA 16121-1364 | 2007-07-02 |
| 1679779201 | Primary Health Network | Family Medicine | 4210 Crawford Ave, Northern Cambria, PA 15714-1342 | 2007-06-21 |
| 1750413159 | Primary Health Network | Clinic/Center | 197 E Silver St, Sharon, PA 16146-2186 | 2007-03-12 |
| 1295867620 | Primary Health Network | Clinic/Center | 3339 Perry Highway, Sheakleyville, PA 16151-0000 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIMARY HEALTH NETWORK | 100 Shenango Ave, Sharon, PA 16146-1503 |
| Street Address |
419 KELLYS WAY |
| City | EAST BRADY |
| State | PA |
| Zip Code | 16028-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396997318 | Angela D Simmons | Family Medicine | 419 Kellys Way, East Brady, PA 16028-0000 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790740959 | Bradyview Manor LLC | Assisted Living Facility | 405 Robinson Street, East Brady, PA 16028 | 2006-04-19 |
| 1538251988 | Cobra Associates, Inc. | Pharmacy | 7 Water Street, East Brady, PA 16028 | 2006-09-29 |
| 1104930718 | Brian F Pellegrino | Pharmacist | 7 Water Street, East Brady, PA 16028-0307 | 2006-08-19 |
| 1942283965 | East Brady Area Amb Service | Emergency Medical Technician, Paramedic | 426 Kellys Way, East Brady, PA 16028-0325 | 2005-11-23 |
| 1366566465 | East Brady Area Ambulance | Ambulance | 426 Kellys Way, East Brady, PA 16028-0325 | 2007-03-16 |
| 1033572144 | East Brady Area Ambulance Service Inc | Ambulance | 426 Kellys Way, East Brady, PA 16028-0426 | 2016-04-05 |
| 1629145677 | Sugarcreek Township Ambulance Service Inc. | Ambulance | 2030 State Route 268, East Brady, PA 16028-2528 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629145677 | Sugarcreek Township Ambulance Service Inc. | Ambulance | 2030 State Route 268, East Brady, PA 16028-2528 | 2006-11-28 |
| 1104930718 | Brian F Pellegrino | Pharmacist | 7 Water Street, East Brady, PA 16028-0307 | 2006-08-19 |
| 1790740959 | Bradyview Manor LLC | Assisted Living Facility | 405 Robinson Street, East Brady, PA 16028 | 2006-04-19 |
| 1942283965 | East Brady Area Amb Service | Emergency Medical Technician, Paramedic | 426 Kellys Way, East Brady, PA 16028-0325 | 2005-11-23 |
| 1033572144 | East Brady Area Ambulance Service Inc | Ambulance | 426 Kellys Way, East Brady, PA 16028-0426 | 2016-04-05 |
| 1396997318 | Angela D Simmons | Family Medicine | 419 Kellys Way, East Brady, PA 16028-0000 | 2008-10-22 |
| 1366566465 | East Brady Area Ambulance | Ambulance | 426 Kellys Way, East Brady, PA 16028-0325 | 2007-03-16 |
| 1538251988 | Cobra Associates, Inc. | Pharmacy | 7 Water Street, East Brady, PA 16028 | 2006-09-29 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1508478157 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 2463 Emerald St, Philadelphia, PA 19125-1236 | 2020-08-17 |
| 1255943809 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 3116 Frankford Ave, Philadelphia, PA 19134-3827 | 2020-08-17 |
| 1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
| 1326656745 | Keystone Rural Health Center | Clinic/Center | 1030 Fairfield Rd, Gettysburg, PA 17325-7153 | 2020-07-22 |
| 1326656174 | Lancaster Health Center | Clinic/Center | 30 N Ann St, Lancaster, PA 17602-3063 | 2020-07-17 |
| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1538781166 | Hyndman Area Health Center, Inc. | Clinic/Center | 214 College Park Plz Ste 203, Johnstown, PA 15904-2833 | 2020-05-18 |
| 1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
| 1053946079 | Neighborhood Health Centers of The Lehigh Valley | Clinic/Center | 635 E Broad St, Bethlehem, PA 18018-6332 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | EAST BRADY |
| Zip Code | 16028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.