B-K HEALTH CENTER, INC (NPI# 1306392105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306392105 |
| Entity Type | Organization |
| Organization Name | B-K HEALTH CENTER, INC |
| Other Organization Name | NEPA COMMUNITY HEALTH CARE |
| Practice Address |
2380 Elk Lake School Rd Springville PA 18844-7710 |
| Mailing Address |
498 S Main St Ste D Montrose PA 18801-1353 |
| Practice Telephone | 5702781106 |
| Practice Fax Number | 5702784838 |
| Mailing Telephone | 5702787500 |
| Mailing Fax Number | 5702787501 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | MARY WETHERALL (CEO) |
| Authorized Official Telephone | 5708530913 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100770131 | 05 |
| Other Name | Type Code |
|---|---|
| NEPA Community Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851336713 | B-k Health Center, Inc | Clinic/Center | 155 Erie Blvd, Susquehanna, PA 18847-1638 | 2006-06-17 |
| 1225070824 | B-k Health Center, Inc | Clinic/Center | 5879 State Route 11, Kingsley, PA 18826 | 2006-06-11 |
| 1245272707 | B-k Health Center, Inc | Clinic/Center | 25066 State Route 11, Mountain View Plz, Hallstead, PA 18822-9511 | 2006-06-11 |
| 1619352978 | B-k Health Center, Inc | Clinic/Center | 498 S Main St, Montrose, PA 18801-1353 | 2015-07-28 |
| Street Address |
2380 ELK LAKE SCHOOL RD |
| City | SPRINGVILLE |
| State | PA |
| Zip Code | 18844-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447389721 | Elk Lake School District | Local Education Agency (LEA) | 2380 Elk Lake School Rd, Springville, PA 18844 | 2007-03-05 |
| 1073025383 | Timothy Allen Jayne | Specialist/Technologist | 2380 Elk Lake School Rd, Springville, PA 18844-7710 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709581 | Rachel Brianne Pompey | Speech-Language Pathologist | 297 Hunter Rd Apt 4, Springville, PA 18844-7405 | 2019-09-19 |
| 1225577463 | Jerome Prusack | Pharmacist | 6591 State Route 29, Springville, PA 18844-7608 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477447 | Skyler Claraence Farmer | Behavior Technician | 645 Swenson Ave Apt 6, Springville, UT 84663-2563 | 2020-11-06 |
| 1801493382 | Maxwell Marshall Mount | Social Worker | 249 Rodeo Dr, Springville, UT 84663-9472 | 2020-10-07 |
| 1841804226 | Nanilia Lara | Massage Therapist | 643 Swenson Ave Apt 2, Springville, UT 84663-2562 | 2020-09-03 |
| 1225642002 | Norma Juarez | Social Worker | 801 W 425 N, Springville, UT 84663-5077 | 2020-08-31 |
| 1437761814 | Chris Goodman | Specialist/Technologist | 1371 S 625 E, Springville, UT 84663-2602 | 2020-08-18 |
| 1518584655 | Maite Antola | Student in an Organized Health Care Education/Training Program | 434 E 400 S, Springville, UT 84663-2006 | 2020-07-05 |
| 1255956363 | Marylauren Agee | Dietitian, Registered | 120 Workman Dr, Springville, TN 38256-4345 | 2020-06-15 |
| 1407476583 | Morgan Lee Jones | Student in an Organized Health Care Education/Training Program | 1790 Copper Spring Rd, Springville, TN 38256-5435 | 2020-04-20 |
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1720614282 | Cynthia Ellen Rich | Peer Specialist | 98 Maple Ave, Springville, NY 14141-1508 | 2020-03-17 |
| Find all providers in SPRINGVILLE | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1386738177 | Family Healthcare Network | Clinic/Center | 35800 Highway 190, Springville, CA 93265-9116 | 2006-10-03 |
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| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 18844 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.