PRIME CARE PROVIDERS LLC
NPI 1992353619
Family Medicine in Johnstown, PA

Active since August 27, 2019CLIA 39D2290045 · Waiver
1013 MENOHER BLVD, JOHNSTOWN, PA 15905(814) 254-4885 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Care Providers Llc NPPES

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

PRIME CARE PROVIDERS LLC (NPI 1992353619) is a healthcare organization registered as a family medicine in Johnstown, Pennsylvania and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists George J Frem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992353619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIME CARE PROVIDERS LLC
Location Address1013 MENOHER BLVDJohnstown, PA 15905-2544
Mailing Address1013 Menoher BlvdJohnstown, PA 15905-2544 · (814) 254-4885
Organization SubpartNo
Authorized OfficialGeorge J FremCeo · (814) 254-4885
Enumeration DateAugust 27, 2019
NPI 1992353619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1013 MENOHER BLVD, Johnstown, PA 15905

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 39D2290045

Prime Care Providers · Johnstown, PA
Active · expires Sep 19, 2027
CLIA Number39D2290045
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorDr. George J. Frem
Laboratory Phone(814) 254-4885
Laboratory LocationPrime Care Providers1013 Menoher Blvd, Johnstown, PA 15905
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.

Clinical Medical Laboratory
1013 MENOHER BLVD
JOHNSTOWN, PA 15905
Physician Assistant
1013 MENOHER BLVD
JOHNSTOWN, PA 15905
Family Medicine
1013 MENOHER BLVD
JOHNSTOWN, PA 15905
Nurse Practitioner (Family)
1013 MENOHER BLVD
JOHNSTOWN, PA 15905
Family Medicine
1013 MENOHER BLVD
JOHNSTOWN, PA 15905

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 Prime Care Providers LLC's NPI number?

The NPI number for Prime Care Providers LLC is 1992353619. It was assigned to this organization in the NPPES registry on August 27, 2019.

Where is Prime Care Providers LLC located?

Prime Care Providers LLC is located at 1013 Menoher Blvd, Johnstown, PA 15905. The listed phone number is (814) 254-4885.

What is Prime Care Providers LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Prime Care Providers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2290045) is associated with this NPI, valid through September 19, 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 Prime Care Providers LLC was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.