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

NPI Status: Active since April 10, 2007

Contact Information

5594 STATE ROUTE 7
ANDOVER, OH
ZIP 44003
Phone: (440) 293-2444
Fax: (440) 293-2445

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 36D2090126
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-14-2027

About ANDOVER PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Andover Primary Care, a primary care provider established in Andover, Ohio operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1114140332 assigned on April 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Andover Primary Care. The authorized official of this NPI record is Mr. Carl A Sizer Iii Cpa (Chief Financial Officer)

NPI
1114140332
Provider Legal Name
PRIMARY HEALTH NETWORK
Other Organization Name
ANDOVER PRIMARY CARE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5594 STATE ROUTE 7 ANDOVER, OH 44003
Location Phone
(440) 293-2444
Location Fax
(440) 293-2445
Mailing Address
63 PITT ST SHARON, PA 16146
Mailing Phone
(724) 342-3002
Mailing Fax
(440) 293-2445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2007
Last Update Date
07-11-2024
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A primary care provider (PCP) like Andover Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CARL A SIZER III CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(724) 342-0126

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1007578460103MEDICAID (05)PA 
0791871MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2090126
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 15, 2025
Certificate Expiration Date
January 14, 2027
Laboratory Director
HENRY D. DEBIEC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Andover Primary Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ANDOVER PRIMARY CARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114140332, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 2 + 4 + 0 + 3 + 6 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114140332.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114140332, enumerated as an "organization" on April 10, 2007.

The provider is located at 5594 STATE ROUTE 7 ANDOVER, OH 44003 and the phone number is (440) 293-2444.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.