Active NPI
B-K Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Springville, PA
National Provider Identifier
1306392105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- B-K HEALTH CENTER, INC
- Practice address
- 2380 Elk Lake School Rd
Springville, PA 18844-7710 - Phone
- (570) 278-1106
- Fax
- (570) 278-0707
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Follert
- Title
- Ceo
- Phone
- (570) 278-5157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
2380 Elk Lake School Rd
Springville, PA 18844-7710
Mailing address
498 S Main St Ste D
Montrose, PA 18801-1317
Phone (570) 278-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007701310046 | Medicaid | PA |
Other names 1
- NEPA Community Health Care
National Provider Directory
National Provider DirectoryLocations
2380 Elk Lake School Rd
Springville, PA 18844
Phone (570) 278-1106
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Owego, NY
- NPI 1902127590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1306392105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 S MAIN ST STE D",
"city": "MONTROSE",
"state": "PA",
"postal_code": "188011317",
"telephone_number": "570-278-7500",
"fax_number": "570-278-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 ELK LAKE SCHOOL RD",
"city": "SPRINGVILLE",
"state": "PA",
"postal_code": "188447710",
"telephone_number": "570-278-1106",
"fax_number": "570-278-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B-K HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A",
"authorized_official_last_name": "FOLLERT",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "570-278-5157"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007701310046",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEPA Community Health Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NEPA Community Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.