Organization
COMMUNITY HEALTH NET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A ULMER (CEO)
(814) 454-4530
Entity
Organization
Contact information
Practice address
2120 E 10TH ST, ERIE, PA 16511-3111
(814) 455-7222
(814) 456-2375
Mailing address
PO BOX 369, ERIE, PA 16512-0369
(814) 454-4530
(814) 456-2375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/16/2011
Last updated
04/21/2023
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