SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC. NPI 1184654477

NPI Information

NPI: 1184654477
Provider Name: SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: UNIVERSAL PRIMARY CARE
CLIA Number: 39D2176162
Address: 135 N UNION ST
OLEAN, NY
ZIP 14760
Phone: (716) 375-7500

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NPI Details

SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC. is a federally qualified health center (fqhc) clinic center in Olean, NY. SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC. NPI is 1184654477. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Universal Primary Care.

The provider's business location address is:

135 N UNION ST
OLEAN, NY
ZIP 14760-736
Phone: (716) 375-7500
Fax: (716) 701-6853

The provider's authorized official is Brett Lawton .
The authorized official title is Ceo and has the following contact phone number (716) 375-7500.

The CLIA number assigned to this NPI record is 39D2176162 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/3/2006 and was last updated on 9/1/2021.

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	207Q00000X	Family Medicine				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	0401201R	NEW YORK	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	02587231	MEDICAID	NEW YORK

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: 3/30/2025

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