Organization Active NPI

Community Womens Care of Berks County

  • Midwife
  • Kutztown, PA
National Provider Identifier
1114184785
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW008557L Issued in PA
Legal business name
COMMUNITY WOMENS CARE OF BERKS COUNTY
Practice address
15200 Kutztown Rd
Kutztown, PA 19530-9335
Phone
(610) 683-4646
Fax
(610) 683-4635
NPI assigned
May 20, 2008
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joyce Dieckmann Ward, MSM,CNM
Title
Owner/President
Phone
(610) 781-7040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MW008557L PA
Midwife 176B00000X MW008557L PA Primary

Addresses

Primary practice location

15200 Kutztown Rd
Kutztown, PA 19530-9335

Mailing address

1017 Duryea Ave
Reading, PA 19605-1159
Phone (610) 926-6424

Other identifiers 3

IdentifierTypeStateIssuer
1010123680002OtherPAMAID#
1021823710002MedicaidPA
1021823710001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1114184785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 DURYEA AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196051159",
            "telephone_number": "610-926-6424",
            "fax_number": "610-370-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 KUTZTOWN RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309335",
            "telephone_number": "610-683-4646",
            "fax_number": "610-683-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WOMENS CARE OF BERKS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "DIECKMANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "610-781-7040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSM,CNM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MW008557L",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "PA",
            "license": "MW008557L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAID#",
            "identifier": "1010123680002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021823710002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021823710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.