Organization
PRIMARY HEALTH NETWORK
Active
Other names
Andover Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL A SIZER III CPA (CHIEF FINANCIAL OFFICER)
(724) 342-0126
Entity
Organization
Contact information
Practice address
5594 STATE ROUTE 7, ANDOVER, OH 44003-9490
(440) 293-2444
(440) 293-2445
Mailing address
63 PITT ST, SHARON, PA 16146-2102
(724) 342-3002
(724) 342-1942
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791871
—
OH
05
—
1007578460103
—
PA
Enumeration date
04/10/2007
Last updated
07/11/2024
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