Active NPI
Keystone Rural Health Center
- Foot & Ankle Surgery Podiatrist
- Waynesboro, PA
National Provider Identifier
1124729264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- KEYSTONE RURAL HEALTH CENTER
- Practice address
- 1905 Market Square Blvd
Waynesboro, PA 17268-3811 - Phone
- (717) 762-6300
- Fax
- (717) 762-1831
- NPI assigned
- Mar 15, 2023
- Organization subpart
- Yes
- Parent organization
- KEYSTONE RURAL HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Cochran
- Title
- President and Ceo
- Phone
- (717) 709-7906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1905 Market Square Blvd
Waynesboro, PA 17268-3811
Mailing address
111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922
Other names 1
- Foot and Ankle Center Waynesboro
National Provider Directory
National Provider Directory- Tax ID family
- Keystone HLTH Ctr
- Part of
- Keystone HLTH Ctr
Other organizations with this tax ID 41
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1003750654
-
- Federally Qualified Health Center (FQHC)
- Waynesboro, PA
- NPI 1033773155
-
- Community/Retail Pharmacy
- Chambersburg, PA
- NPI 1053105288
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1063879286
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1093659641
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1104480227
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1124026703
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1205284734
-
- Federally Qualified Health Center (FQHC)
- Waynesboro, PA
- NPI 1205766227
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1235791013
-
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1255793105
-
- Pediatric Dentistry
- Chambersburg, PA
- NPI 1265244941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715817600000",
"number": "1124729264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CHAMBERS HILL DR STE 200",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017304",
"telephone_number": "717-709-7922",
"fax_number": "717-263-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 MARKET SQUARE BLVD",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172683811",
"telephone_number": "717-762-6300",
"fax_number": "717-762-1831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE RURAL HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KEYSTONE RURAL HEALTH CENTER",
"enumeration_date": "2023-03-15",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A",
"authorized_official_last_name": "COCHRAN",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "717-709-7906"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot and Ankle Center Waynesboro",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Foot and Ankle Center Waynesboro",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waynesboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.