NPIMap

Organization Active NPI

Keystone Rural Health Center

Doing business as Keystone Urgent Care Catherine Street

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
National Provider Identifier
1730973975
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
Doing business as
Keystone Urgent Care Catherine Street
Practice address
133 W Catherine St
Suite 100
Chambersburg, PA 17201-3592
Phone
(717) 709-7922
NPI assigned
Apr 4, 2025
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KEYSTONE RURAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

133 W Catherine St
Suite 100
Chambersburg, PA 17201-3592

Mailing address

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

Other names 1

  • Keystone Urgent Care Catherine Street Doing business as

Medicare participation

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

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
O20250815002895 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 1730973975. Details of each certification follow.

Federally qualified health center certification: CCN D31045

Legal name
KEYSTONE RURAL HEALTH CENTER
Doing business as
KEYSTONE URGENT CARE 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 100
Chambersburg, PA 17201-3592

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

Other NPIs on the same Medicare enrollment 19

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

View all 19

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 14

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 OfficerBoard Member 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

Practitioners & affiliated clinicians

Practitioners 2

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": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1730973975",
    "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 100",
            "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 Urgent Care Catherine Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.