NPIMap

Organization Active NPI

Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
National Provider Identifier
1649525569
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BERKS COMMUNITY HEALTH CENTER
Practice address
838 Penn St
Reading, PA 19602-1108
Phone
(610) 988-4838
Fax
(610) 988-4824
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Mrs. Mary Kargbo
Title
Ceo
Phone
(610) 988-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

838 Penn St
Reading, PA 19602-1108

Mailing address

838 Penn St
Reading, PA 19602-1108
Phone (610) 988-4838

Other identifiers 1

IdentifierTypeStateIssuer
102691224-0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121106000395 PA Part A Provider - Federally Qualified Health Center (FQHC) 2860643582 Practice locations: Reading, PA
O20130716000431 PA Part B Supplier - Clinic/Group Practice 2860643582 Receives reassigned benefits from 33 practitioners
Practice locations: Reading, PA

Federally qualified health center certification: CCN 391034

Legal name
BERKS COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 6, 2012
Last certification
Nov 6, 2012
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Oct 26, 2010 in PA
Enrollment address
838 Penn St
Reading, PA 19602-1108

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Berks Community Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1040 Liggett Ave
Reading, PA 19611
Phone (610) 775-1431

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lizette Flowers Individual Corporate Officer Aug 1, 2023
Lori Lillis Individual Corporate OfficerMember Dec 1, 2022
Denise Johnson Individual Corporate OfficerMember Aug 10, 2020
Melanie Lis Individual Corporate OfficerMember Dec 1, 2022
Yamile Pena Individual Corporate OfficerMember Dec 1, 2024
Julia Becker Individual Corporate OfficerMember Jul 1, 2023
Meredith Carrier Individual Corporate OfficerMember Jul 1, 2023
Donald M Baxter Individual Corporate DirectorChair Jun 11, 2020
Susan Pichini Individual Corporate OfficerSecretary Dec 11, 2018
Rosa Velez Individual Corporate OfficerMember Jul 1, 2023
Mark Stone Individual Corporate OfficerTreasurer Jul 1, 2018
Valerie West Individual Corporate OfficerVice Chair Aug 23, 2018
Arleny Pimentel Individual Corporate OfficerMember Dec 1, 2024
Mary Kargbo Individual Corporate OfficerCeo Sep 20, 2012 100%
W-2 Managing EmployeeCeo Sep 20, 2012 100%
Operational/Managerial ControlCeo Sep 20, 2012 100%
Gary Rightmire Individual Corporate OfficerCo-Chairman Board of Directors Mar 30, 2011
Corporate DirectorCo-Chairman Board of Directors Dec 8, 2010
Missy Orlando Individual Corporate OfficerBoard Member Jan 1, 2018
Violet Emory Individual Corporate OfficerMember Aug 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1649525569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838",
            "fax_number": "610-288-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838",
            "fax_number": "610-988-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-988-4838",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "102691224-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.