Organization
PRIMARY HEALTH NETWORK
Active
Other names
Lewistown Dental 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
31 S DORCAS ST, LEWISTOWN, PA 17044-2110
(717) 447-1898
(717) 447-1891
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
—
100757846 0116
—
PA
Enumeration date
05/11/2015
Last updated
07/20/2022
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