Keystone Rural Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Gardners, PA
NPI 1326656745 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1326656745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- KEYSTONE RURAL HEALTH CENTER
- Practice address
- 3375 Carlisle Rd
Gardners, PA 17324-9603 - Phone
- (717) 334-0001
- Fax
- (717) 337-1077
- NPI assigned
- Jul 22, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- KEYSTONE RURAL HEALTH CENTER
Authorized official
- Name
- Joanne Cochran
- Title
- President & Ceo
- Phone
- (717) 709-7922
Other NPIs on the same Medicare enrollment 19
Practitioners 1
-
Janaya Gabryella Hammond, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Keystone HLTH Ctr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
3375 Carlisle Rd
Gardners, PA 17324-9603
Mailing address
111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922
Other names
- Keystone Agricultural Worker Program
Other providers in Gardners, PA
- Ac Visioncare,PC
- Madalyn Brymesser
- Melanie Kay Finkenbinder
- Helpind Hands in Home Care Services
- Keystone Service Systems, Inc
- Bettina T. McBeth
- Hillary Rose Raver
- Don E Stoken
- Timothy Joseph Weaver Jr.
All providers in Gardners, 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 May 16, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.