Organization
PRIMARY HEALTH NETWORK
Active
Other names
TITUSVILLE 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
401 W SPRING ST, TITUSVILLE, PA 16354-2169
(814) 827-8400
(814) 827-8405
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
—
1007578460102
—
PA
Enumeration date
04/12/2010
Last updated
07/20/2022
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