Provider Demographics
NPI:1528556438
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 1:127 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5935
Mailing Address - Country:US
Mailing Address - Phone:724-431-3703
Mailing Address - Fax:
Practice Address - Street 1:1146 W CHESTNUT ST STE B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4631
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:2018-04-26
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007491000044Medicaid
PA1007491000046Medicaid
PA1007491000045Medicaid
PA1007491000049Medicaid