Keystone Rural Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Chambersburg, PA
NPI 1124026703 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1124026703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- KEYSTONE RURAL HEALTH CENTER
- Practice address
- 767 5TH Ave Ste B-3a
Chambersburg, PA 17201-4207 - Phone
- (717) 709-7940
- Fax
- (717) 263-8014
- NPI assigned
- Jul 8, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- KEYSTONE RURAL HEALTH CENTER
Authorized official
- Name
- Joanne Cochran
- Title
- Ceo
- Phone
- (717) 709-7906
Other NPIs with the same Medicare PAC ID 22
Corporate family (same tax ID) 41
Practitioners 46
-
Sarina Akers, CRNP
-
Carranda M Barkdoll, C.R.N.P.
-
Stacy Lea Batistig, CRNP
-
Carolyn Benenati, M.D.
-
Jason Birkel, DPM
-
Yvette Michelle Brown, M.D.
-
Erin Marlene Buck, FNP-C
-
Jennifer P Chan, M.D.
-
Helena H Choi, M.D.
-
Carolyn Aileen Coss Coss, SLP/AUD
-
Erica Paige Dailey, WHNP-BC
-
Joel Hartlan Desotelle, MS OTR/L
-
Jason A. Galicia, MD
-
Barbara Ann Haeckler, M.D.
-
Raniah Sherif Khairy, M.D.
-
Melissa Leigh Kohler, AUD
-
Candy Lynn Moschetti, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Federally qualified health center certification: CCN 391921
- Legal name
- KEYSTONE RURAL HEALTH CENTER
- Doing business as
- KEYSTONE DENTAL CARE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 21, 2003
- Last certification
- Apr 21, 2003
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 24, 1992 in PA
- Enrollment address
- 767 5TH Ave B-3a
Chambersburg, PA 17201-4207
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Smith |
Corporate Officer | May 1, 2024 | |
| Muhammad Amer Chaudhry |
Corporate Officer | Jan 1, 2024 | |
| Carrie Gray |
Corporate Officer |
Oct 1, 2017 | |
| Michael Kugler |
Corporate Officer |
Jan 1, 2014 | |
| Jenna Kaczmarek |
Corporate Officer | Jan 1, 2024 | |
| Timothy Henry |
Corporate Director | Dec 1, 2017 | |
| Scott Brown |
Corporate Director | Jun 2, 2021 | |
| Joanne L Cochran |
Corporate Director |
Mar 18, 2014 | |
| W-2 Managing Employee |
May 12, 2010 | ||
| William a Morgan |
Corporate Officer |
Jan 1, 2014 | |
| Karen Pickenheim Johnston |
Corporate Officer |
Jan 1, 2014 | |
| Wanda Dietrich |
Corporate Officer | Jul 4, 2024 | |
| Virginia Harriger |
Corporate Director | Nov 3, 2021 | |
| Sila Alegret-Bartel |
Corporate Officer |
Jan 1, 2014 | |
| Brittany Henderson |
Corporate Director |
Jan 5, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100506000210 | PA | Part a Provider - Federally Qualified Health Center (FQHC) | 5496663312 | Practice locations: Chambersburg, PA |
National Provider Directory
- Tax ID family
- Keystone HLTH Ctr
- Part of
- Keystone HLTH Ctr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
767 5TH Ave Ste B-3a
Chambersburg, PA 17201-4207
Mailing address
111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922
Other names
- Keystone Dental Care Fifth Avenue
- Keystone Dental Care
Other providers in Chambersburg, PA
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
- Keystone Rural Health Center
All providers in Chambersburg, PA · Federally Qualified Health Center (FQHC) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.