MEDICARE: BARC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC009936	PA
2	235Z00000X	Speech-Language Pathologist	SL003933L	PA
3	225100000X	Physical Therapist	PT013286L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100000166	OTHER	PA	MASTER PROVIDER INDEX

General Provider Information

NPI Number	:	1538325196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARC

Provider Business Mailing Address
First Line	:	4950 YORK RD
Second Line	:	PO BOX 470
City	:	HOLICONG
State	:	PA
Zip	:	18928-0470
Country	:	US
Telephone Number	:	215-794-0800
Fax Number	:	215-794-0958

Provider Business Practice Location Address
First Line	:	4950 YORK RD
Second Line	:	BUCKINGHAM GREEN 1 NORTH, ROUTE 202
City	:	HOLICONG
State	:	PA
Zip	:	18928-0470
Country	:	US
Telephone Number	:	215-794-0800
Fax Number	:	215-794-0958

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. ROBERT H SCHRAM
Credential	:
Telephone Number	:	215-794-0800

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	08/04/2008

Similar Medicare Providers

1093931982 — BARC
Practice Location Address:

4950 YORK ROAD , BUCKINGHAM GREEN 1 NORTH, ROUTE 202
HOLICONG, PA
18928-0470

Practice Phone: 215-794-0800
Practice Fax: 215-794-0958

1528284403 — BARC
Practice Location Address:

4950 YORK ROAD , BUCKINGHAM GREEN 1 NORTH, ROUTE 202
HOLICONG, PA
18928-0470

Practice Phone: 215-794-0800
Practice Fax: 215-794-0958

1629273768 — DR. JANET LEE LEIBY DPT
Practice Location Address:

4950 YORK RD
HOLICONG, PA
18928-0470

Practice Phone: 215-794-0800
Practice Fax:

1750072104 — BARC DEVELOPMENTAL SERVICES, INC
Practice Location Address:

4950 YORK ROAD
HOLICONG, PA
18928-0470

Practice Phone: 215-794-0800
Practice Fax: 215-794-0958

1679596415 — MAKK MEDIX LLC
Practice Location Address:

4950 YORK RD
HOLICONG, PA
18928

Practice Phone: 215-794-8850
Practice Fax: 215-794-8872

1033129705 — DR. LAURIE ANNE STANELL D.M.D
Practice Location Address:

4950 YORK RD , 4950 YORK ROAD SUITE 2-H
HOLICONG, PA
18928-6000

Practice Phone: 215-794-3898
Practice Fax: 215-794-9082

Directions to “BARC ” Practice Location

Language	Start Address	Practice Location

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