PRIMARY HEALTH NETWORK (NPI# 1649676511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649676511 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH NETWORK |
| Other Organization Name | WAYNE PRIMARY CARE |
| Practice Address |
650 East Ave Erie PA 16503-1524 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 8148778030 |
| Practice Fax Number | 8148778040 |
| Mailing Telephone | 7247048886 |
| Mailing Fax Number | 7243421942 |
| Enumeration Date | 2014-11-05 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007578460114 | 05 |
| Other Name | Type Code |
|---|---|
| Wayne Primary Care | 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 |
| 1265639553 | Primary Health Network | Non-Pharmacy Dispensing Site | 419 Kellys Way, East Brady, PA 16028-1404 | 2007-06-29 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIMARY HEALTH NETWORK | 100 Shenango Ave, Sharon, PA 16146-1503 |
| Street Address |
650 EAST AVE |
| City | ERIE |
| State | PA |
| Zip Code | 16503-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982806014 | Hisham M. Shawish | Family Medicine | 650 East Ave, Erie, PA 16503-1524 | 2007-06-01 |
| 1750981858 | Brandon Adams | Registered Nurse | 650 East Ave, Erie, PA 16503-1524 | 2020-10-28 |
| 1669801825 | Victoria A Wiesner | Nurse Practitioner | 650 East Ave, Erie, PA 16503-1524 | 2013-11-07 |
| 1528303617 | Primary Health Network | Non-Pharmacy Dispensing Site | 650 East Ave, B, Erie, PA 16503-1524 | 2012-11-30 |
| 1366705535 | Community Health Net | Clinic/Center | 650 East Ave, Erie, PA 16503-1524 | 2012-06-21 |
| 1578758702 | Candace R Desser | Social Worker | 650 East Ave, Erie, PA 16503-1524 | 2007-09-11 |
| 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 |
| 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 |
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|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
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| 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.