Healthcare Provider Details

I. General information

NPI: 1669130209
Provider Name (Legal Business Name): BERKS COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 ROCKLAND ST
READING PA
19604-1501
US

IV. Provider business mailing address

645 PENN ST STE 301
READING PA
19601-3527
US

V. Phone/Fax

Practice location:
  • Phone: 610-988-3848
  • Fax: 484-772-1112
Mailing address:
  • Phone: 484-772-4091
  • Fax: 610-374-1629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY HELEN KARGBO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 484-772-4091