PRIMARY HEALTH NETWORK (NPI# 1396074324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396074324 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH NETWORK |
| Other Organization Name | BOLIVAR MEDICAL CENTER |
| Practice Address |
802 Mckinley Street Bolivar PA 15923-0038 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7246764709 |
| Practice Fax Number | 7246764752 |
| Mailing Telephone | 7247048886 |
| Mailing Fax Number | 7243421942 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | MR. DREW C PIERCE (CEO) |
| Authorized Official Telephone | 7243423002 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY HEALTH NETWORK |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007578460099 | 05 |
| Other Name | Type Code |
|---|---|
| BOLIVAR MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179063 | Primary Health Network | Clinic/Center | 811 Grandview Rd Ste 100, Oil City, PA 16301-2077 | 2019-08-15 |
| 1649739319 | Primary Health Network | Clinic/Center | 120 S Martin St, Titusville, PA 16354-1850 | 2019-03-13 |
| 1043711385 | Primary Health Network | Clinic/Center | 152 Zeman Drive, Suite 301, Ebensburg, PA 15931-4130 | 2018-02-22 |
| 1043609480 | Primary Health Network | Clinic/Center | 1885 Market St Ste B, Warren, PA 16365-1278 | 2015-01-22 |
| 1295087617 | Primary Health Network | Clinic/Center | 1555 Shawna Rd., Cherry Tree, PA 15724-9003 | 2012-10-09 |
| 1275730202 | Primary Health Network | Clinic/Center | 2000 Green St, Farrell, PA 16121-1364 | 2007-07-02 |
| 1265639553 | Primary Health Network | Non-Pharmacy Dispensing Site | 419 Kellys Way, East Brady, PA 16028-1404 | 2007-06-29 |
| 1679779201 | Primary Health Network | Family Medicine | 4210 Crawford Ave, Northern Cambria, PA 15714-1342 | 2007-06-21 |
| 1750413159 | Primary Health Network | Clinic/Center | 197 E Silver St, Sharon, PA 16146-2186 | 2007-03-12 |
| 1295867620 | Primary Health Network | Clinic/Center | 3339 Perry Highway, Sheakleyville, PA 16151-0000 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIMARY HEALTH NETWORK | 100 Shenango Ave, Sharon, PA 16146-1503 |
| Street Address |
802 MCKINLEY STREET |
| City | BOLIVAR |
| State | PA |
| Zip Code | 15923-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285724 | Rebecca R Fetter | Counselor | 412 Shaffer Street, Bolivar, PA 15923 | 2019-10-07 |
| 1346201274 | Stacey A Robertson | Family Medicine | 802 Mckinley St, Bolivar Medical Center, Bolivar, PA 15923 | 2006-03-30 |
| 1740469303 | Outside In School of Experiential Education, Inc | Substance Abuse Rehabilitation Facility | 1050 Fort Palmer Rd, Bolivar, PA 15923-2516 | 2007-10-31 |
| 1285074591 | Justin T. Mcdonald | Counselor | 1050 Fort Palmer Rd, Bolivar, PA 15923-2516 | 2013-07-01 |
| 1912153842 | Outside In Scholl of Experiential Education | Substance Abuse Rehabilitation Facility | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2008-08-12 |
| 1780134171 | Outside In School of Experiential Education, Inc | Community/Behavioral Health | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2016-10-10 |
| 1457739674 | Barbara Penn | Social Worker | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2015-05-07 |
| 1033549209 | Outside In School of Experiential Education, Inc. | Community/Behavioral Health | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1952915761 | Carol Ehrhardt | Speech-Language Pathologist | 620 E Destin Ln, Bolivar, MO 65613-2253 | 2020-08-31 |
| 1811514672 | Joshua Charles Layman | Physical Therapist | 2103 S Springfield Ave, Bolivar, MO 65613-9686 | 2020-06-28 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1720603459 | Cassandre D. Viets | Registered Nurse | 1155 W Parkview St Ste 1c, Bolivar, MO 65613-7800 | 2020-06-09 |
| 1851915706 | Albany Place LLC | Home Health | 520 S Albany Ave, Bolivar, MO 65613-2116 | 2020-06-05 |
| 1538781679 | David R Richie | Psychologist | 680 Russell Rd, Bolivar, TN 38008-3573 | 2020-05-12 |
| 1386285724 | Rebecca R Fetter | Counselor | 412 Shaffer Street, Bolivar, PA 15923 | 2019-10-07 |
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| Find all providers in BOLIVAR | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1861468340 | Hardeman County Community Health Center | Clinic/Center | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1508478157 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 2463 Emerald St, Philadelphia, PA 19125-1236 | 2020-08-17 |
| 1255943809 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 3116 Frankford Ave, Philadelphia, PA 19134-3827 | 2020-08-17 |
| 1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
| 1326656745 | Keystone Rural Health Center | Clinic/Center | 1030 Fairfield Rd, Gettysburg, PA 17325-7153 | 2020-07-22 |
| 1326656174 | Lancaster Health Center | Clinic/Center | 30 N Ann St, Lancaster, PA 17602-3063 | 2020-07-17 |
| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1538781166 | Hyndman Area Health Center, Inc. | Clinic/Center | 214 College Park Plz Ste 203, Johnstown, PA 15904-2833 | 2020-05-18 |
| 1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
| 1053946079 | Neighborhood Health Centers of The Lehigh Valley | Clinic/Center | 635 E Broad St, Bethlehem, PA 18018-6332 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.