Sandy Lake Community Heath Center

LBN: Primary Health Network
Sandy Lake Community Heath Center is an health care organization with primary practice located at 3205 S Main St , Sandy Lake PA 16145. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Primary Health Network can be contacted via phone (724) 376-7111, or through Sizer, Carl A via phone (724) 342-0126.

Contact Information

Primary practice address
3205 S Main St Sandy Lake PA 16145
Phone: (724) 376-7111
Fax: (724) 376-7165
Website:
Map and Directions
Authorized official contact:
Name: Sizer, Carl A CPA
Phone: (724) 342-0126

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1083084495
LBN Legal business name Primary Health Network
DBA Doing business as Sandy Lake Community Heath Center
Authorized official Sizer, Carl A CPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 28th, 2015
Last updated Jul 11th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083084495 NPPES
Pennsylvania MEDICAID 1007578460118
Pennsylvania MEDICAID 0164904

Popular Providers