Organization
CENTER FOR COMMUNITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BUERKLE (BILLING SUPERVISOR)
(724) 431-3703
Entity
Organization
Contact information
Practice address
1331 12TH AVE STE 106, ALTOONA, PA 16601-3340
(724) 431-0095
Mailing address
127 S MAIN ST, BUTLER, PA 16001-5935
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007491000035
—
PA
05
—
1007491000039
—
PA
Enumeration date
01/03/2018
Last updated
12/31/2018
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