Provider Demographics
NPI:1013068725
Name:COMMUNITY PREVENTION PARTNERSHIP OF BERKS COUNTY
Entity Type:Organization
Organization Name:COMMUNITY PREVENTION PARTNERSHIP OF BERKS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-376-6988
Mailing Address - Street 1:227 NORTH 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3309
Mailing Address - Country:US
Mailing Address - Phone:610-376-6988
Mailing Address - Fax:610-376-6944
Practice Address - Street 1:227 N 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3303
Practice Address - Country:US
Practice Address - Phone:610-376-6988
Practice Address - Fax:610-376-7384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016126100001Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER PA