NPIMap

Organization Active NPI

Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
National Provider Identifier
1881352425
Registry record updated Dec 1, 2021
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
1110 Rockland St
Reading, PA 19604-1501
Phone
(610) 988-3848
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Mary Helen Kargbo, RN,MS
Title
President/Ceo
Phone
(484) 772-4091

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Rockland St
Reading, PA 19604-1501

Mailing address

645 Penn St Ste 301
Reading, PA 19601-3527
Phone (484) 772-4091

Other identifiers 1

IdentifierTypeStateIssuer
102691224-0005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220701001404 PA Part A Provider - Federally Qualified Health Center (FQHC) 2860643582 Practice locations: Reading, PA

Federally qualified health center certification: CCN 731981

Legal name
BERKS COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 30, 2022
Last certification
Jun 30, 2022
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Oct 11, 2018 in PA
Enrollment address
1110 Rockland St
Reading, PA 19604-1501

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.

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 OfficerMember Dec 1, 2023
Lori Lillis Individual Corporate OfficerMember Dec 1, 2024
Denise Johnson Individual Corporate OfficerPersonnel Committee Member Jan 1, 2021
Melanie Lis Individual Corporate OfficerMember Dec 1, 2023
Yamile Pena Individual Corporate OfficerMember Dec 1, 2024
Julia Becker Individual Corporate OfficerMember Dec 1, 2022
Meredith Carrier Individual Corporate OfficerMember Dec 1, 2022
Donald M Baxter Individual Corporate OfficerBoard Member Jan 1, 2020
Susan Pichini Individual Corporate OfficerBoard Directors Vice Chair, Quality Jan 1, 2019
Rosa Velez Individual Corporate OfficerMember Dec 1, 2022
Mark Stone Individual Corporate OfficerFinance Committee Member Jan 1, 2019
Valerie West Individual Corporate OfficerBoard of Directors Secretary, Gover Jan 1, 2019
Arleny Pimentel Individual Corporate OfficerMember Dec 1, 2024
Mary Kargbo Individual Corporate OfficerCeo Sep 20, 2012
W-2 Managing EmployeeCeo Sep 20, 2012
Gary Rightmire Individual Corporate Officer Mar 30, 2011
Corporate Director Dec 8, 2010
Missy Orlando Individual Corporate OfficerMember Dec 1, 2023
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.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1881352425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PENN ST STE 301",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013527",
            "telephone_number": "484-772-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROCKLAND ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041501",
            "telephone_number": "610-988-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "484-772-4091",
        "authorized_official_credential": "RN,MS"
    },
    "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": "102691224-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.