Provider Demographics
NPI:1215610647
Name:CENTER FOR COMMUNITY RESOURCES, INC.
Entity type:Organization
Organization Name:CENTER FOR COMMUNITY RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUERKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-431-3703
Mailing Address - Street 1:212-214 S. MAIN STREET
Mailing Address - Street 2:SUITE 625
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-431-0095
Mailing Address - Fax:
Practice Address - Street 1:214 S 7TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-2053
Practice Address - Country:US
Practice Address - Phone:724-431-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center