PRIMARY CARE SERVICES NPI 1962804955

NPI Information

  • NPI: 1962804955
  • Provider Name: PRIMARY CARE SERVICES
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 39D2301106
  • Address: 991 PARK AVE
    MEADVILLE, PA
    ZIP 16335
  • Phone: (814) 373-4298

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NPI Details

PRIMARY CARE SERVICES is an internal medicine in Meadville, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMARY CARE SERVICES NPI is 1962804955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

991 PARK AVE
MEADVILLE, PA
ZIP 16335-344
Phone: (814) 373-4298
Fax: (814) 724-2196

The provider's authorized official is Cory Jackson .
The authorized official title is Controller and has the following contact phone number (814) 333-5766.

The CLIA number assigned to this NPI record is 39D2301106 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2014 and was last updated on 12/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207R00000XInternal MedicineYes
4207RG0300XInternal MedicineGeriatric MedicineNo
5363AM0700XPhysician AssistantMedicalNo
6363LF0000XNurse PractitionerFamilyNo
7363LP2300XNurse PractitionerPrimary CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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