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Keystone Rural Health Center

Organization Active NPI Federally Qualified Health Center (FQHC) · Chambersburg, PA

NPI 1104480227 · NPPES record last updated Jun 17, 2026

Key facts

NPI
1104480227
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
KEYSTONE RURAL HEALTH CENTER
Practice address
100 Chambers Hill Dr Ste 100
Chambersburg, PA 17201-7301
Phone
(717) 709-7939
Fax
(717) 263-0533
NPI assigned
Apr 24, 2019
Organization subpart
Yes
Parent organization (as reported)
KEYSTONE RURAL HEALTH CENTER

Authorized official

Name
Joanne Cochran
Title
Ceo
Phone
(717) 709-7922

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 49

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA

Federally qualified health center certification: CCN 391134

Legal name
KEYSTONE RURAL HEALTH CENTER
Doing business as
KEYSTONE CHIROPRACTIC SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2019
Last certification
Jul 1, 2019
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Mar 18, 1987 in PA
Enrollment address
100 Chambers Hill Dr
Ste 100
Chambersburg, PA 17201-7301

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Smith
Individual 		Corporate Officer May 1, 2024
Muhammad Amer Chaudhry
Individual 		Corporate Officer Jan 1, 2024
Carrie Gray
Individual 		Corporate Officer Jan 1, 2019
Michael Kugler
Individual 		Corporate Officer Jan 1, 2019
Jenna Kaczmarek
Individual 		Corporate Officer Jan 1, 2024
Timothy Henry
Individual 		Corporate Officer Jan 1, 2019
Scott Brown
Individual 		Corporate Officer Jun 2, 2021
Charles S Bender
Individual 		Corporate Officer
Treasurer		 Mar 22, 2024
Joanne L Cochran
Individual 		Corporate Director
Ceo		 Mar 18, 1987
W-2 Managing Employee
Ceo		 Mar 18, 1987
William a Morgan
Individual 		Corporate Officer Jan 1, 2019
Karen Pickenheim Johnston
Individual 		Corporate Officer
Board Secretary		 Jan 1, 2019
Wanda Dietrich
Individual 		Corporate Officer Jul 4, 2024
Virginia Harriger
Individual 		Corporate Officer Nov 3, 2021
Sila Alegret-Bartel
Individual 		Corporate Officer Jul 1, 2019
Brittany Henderson
Individual 		Corporate Officer Jan 5, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040329000065 PA Part B Supplier - Clinic/Group Practice 5496663312 Receives reassigned benefits from 141 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waynesboro, PA; Chambersburg, PA
O20190523002446 PA Part a Provider - Federally Qualified Health Center (FQHC) 5496663312 Practice locations: Chambersburg, PA

National Provider Directory

Tax ID family
Keystone HLTH Ctr (42 organizations share this tax ID)
Part of
Keystone HLTH Ctr

Locations

22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone 71770979227985

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

100 Chambers Hill Dr Ste 100
Chambersburg, PA 17201-7301

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Other identifiers

IdentifierTypeStateIssuer
1007762330063MedicaidPA

Other names

  • Keystone Chiropractic Chambers Hill Drive Doing business as
  • Keystone Chiropractic Services Doing business as

Other providers in Chambersburg, PA

All providers in Chambersburg, PA · Federally Qualified Health Center (FQHC) in Pennsylvania

Sources for this page

Verify at the official NPI Registry.