NPIMap

Organization Active NPI

Keystone Rural Health Center

Doing business as Keystone Pediatrics Waynesboro

  • Federally Qualified Health Center (FQHC)
  • Waynesboro, PA
National Provider Identifier
1780044685
Registry record updated Nov 25, 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 Pediatrics Waynesboro
Practice address
45 Roadside Ave FRNT
Waynesboro, PA 17268-2543
Phone
(717) 387-8060
Fax
(717) 263-2055
NPI assigned
Mar 4, 2016
Last updated
Nov 25, 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 Nov 25, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

45 Roadside Ave FRNT
Waynesboro, PA 17268-2543

Mailing address

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

Other names 2

  • Keystone Pediatrics Waynesboro Doing business as
  • Keystone Pediatrics Other name

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
O20160629002045 PA Part A Provider - Federally Qualified Health Center (FQHC) 5496663312 Practice locations: Waynesboro, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780044685. Details of each certification follow.

Federally qualified health center certification: CCN 391076

Legal name
KEYSTONE RURAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 6, 2016
Last certification
Jun 6, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationProprietary
Incorporated
Mar 18, 1987 in PA
Enrollment address
45 Roadside Ave
Front
Waynesboro, PA 17268-2594

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2121485Keystone Pediatrics - Waynesboro45 Roadside Ave Front, Waynesboro, PA 17268Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory
Part of
Keystone HLTH Ctr

Locations

45 Roadside Ave
Frnt
Waynesboro, PA 17268
Phone (717) 387-3860

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 OfficerBoard Member May 1, 2024
Muhammad Amer Chaudhry Individual Corporate OfficerBoard Member Jan 1, 2024
Carrie Gray Individual Corporate Director Oct 1, 2017
Michael Kugler Individual Corporate OfficerBoard Member Jan 1, 2016
Jenna Kaczmarek Individual Corporate OfficerTreasurer Jan 1, 2024
Timothy Henry Individual Corporate Director Dec 1, 2017
Scott Brown Individual Corporate Director Jun 2, 2021
Joanne L Cochran Individual Corporate DirectorPresident Ceo Mar 18, 1987
W-2 Managing EmployeePresident Ceo Mar 18, 1987
William a Morgan Individual Corporate OfficerBoard Member Jan 1, 2016
Eduardo Franchi Individual Corporate OfficerBoard Member Oct 1, 2025
Karen Pickenheim Johnston Individual Corporate OfficerSecretary Jan 1, 2016
Wanda Dietrich Individual Corporate OfficerBoard Member Jul 4, 2024
Virginia Harriger Individual Corporate Director Nov 3, 2021
Sila Alegret-Bartel Individual Corporate OfficerBoard Member Jan 1, 2016
Brittany Henderson Individual Corporate Director Jan 5, 2022

Practitioners & affiliated clinicians

Practitioners 11

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": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1780044685",
    "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": "45 ROADSIDE AVE FRNT",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682543",
            "telephone_number": "717-387-8060",
            "fax_number": "717-263-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE RURAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE RURAL HEALTH CENTER",
        "enumeration_date": "2016-03-04",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "L",
        "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 Pediatrics Waynesboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waynesboro, PA

Sources for this page

Verify at the official NPI Registry.