| Primary Health Network | |
|
419 Kellys Way East Brady PA 16028 | |
| (724) 526-5600 | |
| (724) 526-3289 |
| Full Name | Primary Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 419 Kellys Way, East Brady, Pennsylvania |
| Authorized Official Name and Position | George C. Garrow (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7243423002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Network 100 Shenango Ave Sharon PA 16146-1503 Ph: (724) 342-3002 | Primary Health Network 419 Kellys Way East Brady PA 16028 Ph: (724) 526-5600 |
| NPI Number | 1265639553 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 04/24/2026 |
| Medicare PECOS PAC ID | 9234046228 |
|---|---|
| Medicare Enrollment ID | O20080828000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265639553 | NPI | - | NPPES |
| 1007578460023 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (Pennsylvania) | Secondary |