NPIMap

Organization Active NPI

Keystone Rural Health Center

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
National Provider Identifier
1700670940
Registry record updated Apr 4, 2025
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
Practice address
133 W Catherine St
Suite 102
Chambersburg, PA 17201-3592
Phone
(717) 709-7922
NPI assigned
Apr 4, 2025
Organization subpart
Yes
Parent organization
KEYSTONE RURAL HEALTH CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Joanne Cochran
Title
President & Ceo
Phone
(717) 709-7906

Other NPIs on the same Medicare enrollment 19

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

View all 19

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

Practitioners 45

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

View all 45

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Federally qualified health center certification: CCN D31044

Legal name
KEYSTONE RURAL HEALTH CENTER
Doing business as
KEYSTONE BEHAVIORAL HEALTH CATHERINE STREET
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 21, 2025
Last certification
Jul 21, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
133 W Catherine St
Ste 102
Chambersburg, PA 17201-3592

Enrollment records 2

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
O20250924000388 PA Part A Provider - Federally Qualified Health Center (FQHC) 5496663312 Practice locations: Chambersburg, PA

All disclosed owners & managing parties 14

Medicare enrollment files

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 OfficerBoard Member May 1, 2024
Muhammad Amer Chaudhry Individual Corporate OfficerBoard Member Jan 1, 2024
Carrie Gray Individual Corporate OfficerChairman Oct 1, 2017
Michael Kugler Individual Corporate OfficerBoard Member Jan 1, 2015
Jenna Kaczmarek Individual Corporate OfficerTreasurer Jan 1, 2024
Timothy Henry Individual Corporate OfficerBoard Member Dec 1, 2017
Scott Brown Individual Corporate OfficerBoard Member Jun 2, 2021
Joanne L Cochran Individual Corporate DirectorPresident & Ceo Mar 18, 1987
W-2 Managing EmployeeCeo Sep 24, 1992
William a Morgan Individual Corporate OfficerBoard Member Jun 23, 2004
Karen Pickenheim Johnston Individual Corporate OfficerSecretary Jan 1, 2015
Wanda Dietrich Individual Corporate OfficerBoard Member Jul 4, 2024
Virginia Harriger Individual Corporate OfficerBoard Member Nov 3, 2021
Sila Alegret-Bartel Individual Corporate OfficerBoard Member Jan 1, 2015
Brittany Henderson Individual Corporate OfficerBoard Member Jan 5, 2022

National Provider Directory

National Provider Directory
Tax ID family
Keystone HLTH Ctr42 organizations share this tax ID, including this one
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.

View all 41

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

133 W Catherine St
Suite 102
Chambersburg, PA 17201-3592

Mailing address

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

Other names 1

NPPES NPI Registry
  • Keystone Behavioral Health Catherine Street Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2025.

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1700670940",
    "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": "133 W CATHERINE ST",
            "address_2": "SUITE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013592",
            "telephone_number": "717-709-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE RURAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE RURAL HEALTH CENTER",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT & 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 Behavioral Health Catherine Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.