Organization
COMMUNITY HEALTH NET
Active
Other names
Girard School-Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A ULMER (CEO)
(814) 454-4530
Entity
Organization
Contact information
Practice address
1135 LAKE ST STE 2, GIRARD, PA 16417-1063
(814) 455-7222
(814) 459-6678
Mailing address
PO BOX 369, ERIE, PA 16512-0369
(814) 454-4530
(814) 456-2375
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007543070054
—
PA
Enumeration date
05/31/2015
Last updated
04/21/2023
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