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Organization

PRIMARY HEALTH NETWORK

Active
Other names
Shamokin Community Health Center
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
4203 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
(570) 486-4588
(570) 486-4590
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
261QF0400X
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007578460119
PA
Enumeration date
02/15/2016
Last updated
05/03/2024
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