Provider Demographics
NPI:1538325196
Name:BARC
Entity Type:Organization
Organization Name:BARC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-794-0800
Mailing Address - Street 1:4950 YORK RD
Mailing Address - Street 2:PO BOX 470
Mailing Address - City:HOLICONG
Mailing Address - State:PA
Mailing Address - Zip Code:18928-0470
Mailing Address - Country:US
Mailing Address - Phone:215-794-0800
Mailing Address - Fax:215-794-0958
Practice Address - Street 1:4950 YORK RD
Practice Address - Street 2:BUCKINGHAM GREEN 1 NORTH, ROUTE 202
Practice Address - City:HOLICONG
Practice Address - State:PA
Practice Address - Zip Code:18928-0470
Practice Address - Country:US
Practice Address - Phone:215-794-0800
Practice Address - Fax:215-794-0958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013286L225100000X
PAOC009936225X00000X
PASL003933L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100000166OtherMASTER PROVIDER INDEX