ANDOVER PRIMARY CARE
NPI 1114140332
Clinic/Center - Federally Qualified Health Center (FQHC) in Andover, OH

Active since April 10, 2007CLIA 36D2090126 · Waiver
5594 STATE ROUTE 7, ANDOVER, OH 44003(440) 293-2444(440) 293-2445 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Jul 18, 2022, May 28, 2020 (3 updates tracked since 2020).

About Andover Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDOVER PRIMARY CARE (NPI 1114140332) is a healthcare organization registered as a federally qualified health center (fqhc) in Andover, Ohio and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Carl A Sizer, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114140332
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePRIMARY HEALTH NETWORK
Location Address5594 STATE ROUTE 7Andover, OH 44003-9490
Mailing Address63 Pitt StSharon, PA 16146-2102 · (724) 342-3002 · Fax (724) 342-1942
Fax(440) 293-2445
Organization SubpartNo
Authorized OfficialCarl A SizerChief Financial Officer · (724) 342-0126
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1114140332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5594 STATE ROUTE 7, Andover, OH 44003

Other Names 1

Other NameAndover Primary Care

Other Identifiers 2

Medicaid1007578460103PA
Medicaid0791871OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2090126

Andover Primary Care · Andover, OH
Active · expires Jan 14, 2027
CLIA Number36D2090126
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorHenry D. Debiec
Laboratory Phone(440) 293-2444
Laboratory LocationAndover Primary Care5594 State Route 7, Andover, OH 44003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Ultrasound)
5594 STATE ROUTE 7
ANDOVER, OH 44003
Family Medicine
5594 STATE ROUTE 7
ANDOVER, OH 44003
Nurse Practitioner (Family)
5594 STATE ROUTE 7
ANDOVER, OH 44003
General Practice
5594 STATE ROUTE 7
ANDOVER, OH 44003
Clinic/Center (Federally Qualified Health Center (FQHC))
5594 STATE ROUTE 7
ANDOVER, OH 44003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Health Network's NPI number?

The NPI number for Primary Health Network is 1114140332. It was assigned to this organization in the NPPES registry on April 10, 2007. The provider is also known as Andover Primary Care.

Where is Primary Health Network located?

Primary Health Network is located at 5594 State Route 7, Andover, OH 44003. The listed phone number is (440) 293-2444.

What is Primary Health Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Primary Health Network hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2090126) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Health Network was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.