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Organization
PRIMARY CARE SERVICES
Active
Organization
PRIMARY CARE SERVICES
Active
Parent organization
PRIMARY CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE SERVICES
Authorized official
CORY JACKSON (CONTROLLER)
(814) 333-5766
Entity
Organization
Contact information
Practice address
991 PARK AVE, MEADVILLE, PA 16335-3344
(814) 373-4298
(814) 724-2196
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-4298
(814) 724-2196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/22/2014
Last updated
04/24/2026
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