COMMUNITY HEALTH NET (NPI# 1508984865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508984865 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH NET |
| Other Organization Name | BOOKER T. WASHINGTON DENTAL |
| Practice Address |
1720 Holland St Erie PA 16503-1808 |
| Mailing Address |
Po Box 369 Erie PA 16512-0369 |
| Practice Telephone | 8144568548 |
| Practice Fax Number | 8144562375 |
| Mailing Telephone | 8144544530 |
| Mailing Fax Number | 8144562375 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | MR. JOHN R SCHULTZ (CEO) |
| Authorized Official Telephone | 8144544530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007543070009 | 05 |
| Other Name | Type Code |
|---|---|
| BOOKER T. WASHINGTON DENTAL | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992185458 | Community Health Net | Clinic/Center | 1135 Lake St Ste 2, Girard, PA 16417-1063 | 2015-05-31 |
| 1831484922 | Community Health Net | Clinic/Center | 2120 E 10th St, Erie, PA 16511-3111 | 2011-06-16 |
| 1093026510 | Community Health Net | Pharmacy | Daniel S. Snow M.d. Health Center, 1202 State Street, Erie, PA 16501 | 2010-06-30 |
| 1972826626 | Community Health Net | Clinic/Center | 4401 Iroquois Ave, Erie, PA 16511-2219 | 2010-03-09 |
| 1366705535 | Community Health Net | Clinic/Center | 650 East Ave, Erie, PA 16503-1524 | 2012-06-21 |
| 1447574785 | Community Health Net | Clinic/Center | 1611 Peach St, Erie, PA 16501-2109 | 2010-03-16 |
| 1336301092 | Community Health Net | Clinic/Center | 5712 Iroquois Ave, Harborcreek, PA 16421 | 2008-06-25 |
| 1881862878 | Community Health Net | Clinic/Center | 312 Chestnut St, Erie, PA 16507-1222 | 2008-02-13 |
| 1699893966 | Community Health Net | Clinic/Center | 2314 Sassafras St, Erie, PA 16502-2722 | 2007-03-26 |
| 1902924269 | Community Health Net | Clinic/Center | 2922 State St, Erie, PA 16508-1832 | 2007-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH NETWORK FOUNDATION, INC. | 7240 Shadeland Sta Ste 125, Indianapolis, IN 46256-3959 |
| Connecticut Business Registrations | Community Health Network of Connecticut Foundation, Inc. | C/O Shipman & Goodwin LLP, One American Row, Hartford, CT 06103 |
| New York State Corporations | COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. | 11 Fairfield Boulevard, Wallingford, Ct 06492 |
| System for Award Management (SAM) Entities | COMMUNITY HEALTH NETWORK, INC | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 |
| New York State Corporations | COMMUNITY HEALTH NETWORK, INC. | 1967 Wehrle Drive, Suite 1086, Buffalo, Ny 14221 |
| Street Address |
1720 HOLLAND ST |
| City | ERIE |
| State | PA |
| Zip Code | 16503-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689600066 | Lonny James Gatlin | Dentist | 1720 Holland St, Erie, PA 16503-1808 | 2006-06-25 |
| 1386962181 | Lora Bell | Dental Hygienist | 1720 Holland St, Erie, PA 16503-1808 | 2010-05-04 |
| 1881922656 | Brea A Bush | Dental Hygienist | 1720 Holland St, Erie, PA 16503-1808 | 2009-12-06 |
| 1740418003 | Eric M Dipaul | Dentist | 1720 Holland St, Erie, PA 16503-1808 | 2009-06-25 |
| 1548418296 | Marina A Tishchenko | Dental Hygienist | 1720 Holland St, Erie, PA 16503-1808 | 2008-09-07 |
| 1063692390 | Linda Jean Bergdahl | Dental Hygienist | 1720 Holland St, Erie, PA 16503-1808 | 2007-11-03 |
| 1396949566 | Diane C Hazlett | Dental Hygienist | 1720 Holland St, Erie, PA 16503-1808 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150249 | Grace Avail At Home, LLC | Home Health | 1337 E 8th Street, Erie, PA 16503 | 2016-08-28 |
| 1780960492 | Sabina Alisic | Licensed Practical Nurse | 507 East 25 Street, Erie, PA 16503 | 2011-10-26 |
| 1639393440 | James Patrick Barber | Family Medicine | 1006 Mccarter Ave, Erie, PA 16503 | 2007-04-12 |
| 1952316705 | Gage House, Lp | Substance Abuse Rehabilitation Facility | 1813 Holland Street, Erie, PA 16503 | 2006-07-30 |
| 1407952351 | Deborah Perez-zurita | Counselor | 1020 E 10th St, Erie, PA 16503 | 2006-09-16 |
| 1891776993 | Kirstin Ellen Brunner | Psychiatry & Neurology | 1020 East 1oth Street, Erie, PA 16503-0002 | 2005-11-07 |
| 1770650095 | Scott Ian Mclay | Specialist/Technologist | 201 E 8th St, Erie Otters Hockey Club, Erie, PA 16503-1003 | 2006-11-30 |
| 1528618956 | Andrew John Kupniewski | Specialist/Technologist | 201 E 8th St, Erie, PA 16503-1003 | 2019-09-17 |
| 1710148598 | Community of Caring | Community/Behavioral Health | 245 E 8th St, Erie, PA 16503-1003 | 2008-06-24 |
| 1689691404 | Hospice of Metropolitan Erie, Inc. | Hospice Care, Community Based | 202 E 10th St, Erie, PA 16503-1008 | 2006-07-16 |
| Find all providers in zip 16503 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972826626 | Community Health Net | Clinic/Center | 4401 Iroquois Ave, Erie, PA 16511-2219 | 2010-03-09 |
| 1649676511 | Primary Health Network | Clinic/Center | 650 East Ave, Erie, PA 16503-1524 | 2014-11-05 |
| 1366705535 | Community Health Net | Clinic/Center | 650 East Ave, Erie, PA 16503-1524 | 2012-06-21 |
| 1447574785 | Community Health Net | Clinic/Center | 1611 Peach St, Erie, PA 16501-2109 | 2010-03-16 |
| 1699893966 | Community Health Net | Clinic/Center | 2314 Sassafras St, Erie, PA 16502-2722 | 2007-03-26 |
| 1730227307 | Multi-cultural Health Evaluation Delivery Systems Inc | Clinic/Center | 2928 Peach St, Erie, PA 16508-1843 | 2007-02-03 |
| 1245209170 | Community Health Net | Clinic/Center | 1202 State St, Erie, PA 16501-1914 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
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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.