Primary Health Network
Clinic/Center, Federally Qualified Health Center (FQHC) in Rome, OH. Organization (NPI-2).
NPI number1699080911
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1699080911
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Health Network
- Organization subpart
- No
- Enumeration date
- Aug 11, 2010
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Ashtabula Community Health Center (Doing Business As)
Practice location
5266 State Route 45Rome, OH 44085-9404
Phone 440-563-5028 · Fax 440-563-3044
Mailing address
63 Pitt StSharon, PA 16146-2102
Phone 724-342-3002 · Fax 724-342-1942
Authorized official
Carl A Sizer
Chief Financial Officer
7243420126
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