COMMUNITY HEALTH NET NPI 1972826626

NPI Information

NPI: 1972826626
Provider Name: COMMUNITY HEALTH NET

Other Name: HARBORCREEK HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 39D2048136

Address:
4401 IROQUOIS AVE
ERIE, PA
ZIP 16511
Phone: (814) 455-7222
Get Directions

COMMUNITY HEALTH NET is a federally qualified health center (fqhc) clinic center in Erie, PA. COMMUNITY HEALTH NET NPI is 1972826626. The provider is registered as an organization entity type.
The provider Other Name Is Harborcreek Health Center.

The provider's business location address is:

4401 IROQUOIS AVE
ERIE, PA
ZIP 16511-219
Phone: (814) 455-7222
Fax: (814) 459-6678

The provider's authorized official is Craig A Ulmer .
The authorized official title is Ceo and has the following contact phone number (814) 454-4530.

The CLIA number assigned to this NPI record is 39D2048136 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/20/2023.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100754307-0052	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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