NPIMap

Organization Active NPI

B-K Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenfield Township, PA
National Provider Identifier
1952801037
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
B-K HEALTH CENTER, INC.
Practice address
127 Route 106
Greenfield Township, PA 18407-3526
Phone
(570) 278-7500
Fax
(570) 278-0707
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Addresses

Primary practice location

127 Route 106
Greenfield Township, PA 18407-3526

Mailing address

498 S Main St Ste D
Montrose, PA 18801-1317
Phone (570) 278-7500

Other identifiers 1

IdentifierTypeStateIssuer
1007701310047MedicaidPA

Other names 1

  • NEPA Community Health Care Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040407000467 PA Part B Supplier - Clinic/Group Practice 8921091745 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenfield Township, PA; Hallstead, PA; Montrose, PA
O20180425001620 PA Part A Provider - Federally Qualified Health Center (FQHC) 8921091745 Practice locations: Greenfield Township, PA

Federally qualified health center certification: CCN 391110

Legal name
B-K HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 25, 2018
Last certification
Apr 25, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1983 in PA
Enrollment address
127 Route 106
Greenfield Township, PA 18407-3526

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
B-K Health Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Judy Herschel Individual Corporate OfficerBoard President Feb 1, 2019
Alison Montone Individual Operational/Managerial ControlRevenue Cycle Manager May 10, 2021
Joseph Plonski Individual Corporate OfficerBoard Member Jul 1, 2003
Traci Decker Individual Corporate DirectorBoard Member Dec 1, 2018
Kenneth Cooper Individual Corporate Officer Jan 1, 2015
Andrew Coolbaugh Individual Corporate OfficerSecretary Dec 1, 2019
Elisabeth Landes Individual Corporate OfficerBoard Member Feb 22, 2022
Macy Matthews Individual Corporate OfficerBoard Member Mar 22, 2022
Rachael Thomas Individual Corporate OfficerBoard Member Apr 23, 2019
Todd Moffett Individual Corporate OfficerBoard Member Nov 17, 2020
Lori Mitchell Individual Corporate OfficerTreasurer May 1, 2017
Stuart Shapiro Individual Corporate DirectorVice President of Board Nov 1, 2020
Kristen Follert Individual Corporate DirectorCeo Nov 14, 2022
W-2 Managing EmployeeCeo Nov 14, 2022
Operational/Managerial ControlCeo Nov 14, 2022
Amy McKeeby Individual W-2 Managing EmployeeCfo Mar 1, 2018

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1952801037",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROUTE 106",
            "city": "GREENFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "184073526",
            "telephone_number": "570-278-7500",
            "fax_number": "570-278-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-K HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "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": "1007701310047",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEPA Community Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield Township, PA

Sources for this page

Verify at the official NPI Registry.