Organization Name: | B-K HEALTH CENTER, INC |
NPI Number: | 1225070824 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESE DELAPLAINE (EXECUTIVE DIRECTOR) |
Mailing Address: | 5879 State Route 11 Kingsley |
State: | PA US |
Postal Code: | 18826 |
Phone Number: | 5702229596 |
Fax Number: | 5702225396 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 01/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |