NPIMap

Organization Active NPI

Keystone Rural Health Center

Doing business as Keystone Pediatric Dental Chambers Hill Drive

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
National Provider Identifier
1235791013
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KEYSTONE RURAL HEALTH CENTER
Doing business as
Keystone Pediatric Dental Chambers Hill Drive
Practice address
111 Chambers Hill Dr Ste 202
Chambersburg, PA 17201-7304
Phone
(717) 709-7941
Fax
(717) 217-1941
NPI assigned
Jul 2, 2019
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KEYSTONE RURAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joanne Cochran
Title
Ceo
Phone
(717) 709-7906

Specialties & licenses 1

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

Addresses

Primary practice location

111 Chambers Hill Dr Ste 202
Chambersburg, PA 17201-7304

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 790-7922

Other names 2

  • Keystone Pediatric Dental Chambers Hill Drive Doing business as
  • Keystone Pediatric Dental Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200821002986 PA Part A Provider - Federally Qualified Health Center (FQHC) 5496663312 Practice locations: Chambersburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235791013. Details of each certification follow.

Federally qualified health center certification: CCN 731821

Legal name
KEYSTONE RURAL HEALTH CENTER
Doing business as
KEYSTONE PEDIATRIC DENTAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 18, 2020
Last certification
Aug 18, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 18, 1987 in PA
Enrollment address
111 Chambers Hill Dr
Ste 202
Chambersburg, PA 17201-7304

Other NPIs with the same Medicare PAC ID 22

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

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Keystone HLTH Ctr43 organizations share this tax ID, including this one
Part of
Keystone HLTH Ctr

Other organizations with this tax ID 42

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

View all 42

Ownership & related parties

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 Director May 1, 2024
Muhammad Amer Chaudhry Individual Corporate Director Jan 1, 2024
Carrie Gray Individual Corporate OfficerVice Chair Jan 1, 2020
Michael Kugler Individual Corporate OfficerMember Jan 1, 2020
Jenna Kaczmarek Individual Corporate DirectorTreasurer Jan 1, 2024
Timothy Henry Individual Corporate OfficerMember Jan 1, 2020
Scott Brown Individual Corporate Director Jun 2, 2021
Joanne L Cochran Individual Corporate OfficerPresident and Ceo Jan 1, 2020
W-2 Managing EmployeePresident and Ceo Jan 1, 2000
William a Morgan Individual Corporate OfficerMember Jan 1, 2020
Eduardo Franchi Individual Corporate Director Oct 1, 2025
Karen Pickenheim Johnston Individual Corporate OfficerSecretary Jan 1, 2020
Wanda Dietrich Individual Corporate Director Jul 4, 2024
Virginia Harriger Individual Corporate Director Nov 3, 2021
Sila Alegret-Bartel Individual Corporate OfficerMember Jan 1, 2020
Brittany Henderson Individual Corporate Director Jan 5, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1235791013",
    "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": "717-790-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 202",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7941",
            "fax_number": "717-217-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE RURAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE RURAL HEALTH CENTER",
        "enumeration_date": "2019-07-02",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-709-7906"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Pediatric Dental Chambers Hill Drive",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Pediatric Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.