Keystone Rural Health Consortia, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

KEYSTONE RURAL HEALTH CONSORTIA, INC.

Doing business as

Central Potter Health Center

Practice address

71 Elk St
Coudersport, PA 16915-9601

Phone

(814) 274-7070

Fax

(814) 274-7879

NPI assigned

Sep 29, 2006

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony C. Moscato

Title

Administrator

Phone

(814) 486-1115

Specialties & licenses 1

Addresses

Other names 1

• Central Potter Health Center Doing business as

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1780776427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ELK ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169159601",
            "telephone_number": "814-274-7070",
            "fax_number": "814-274-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ELK ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169159601",
            "telephone_number": "814-274-7070",
            "fax_number": "814-274-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE RURAL HEALTH CONSORTIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MOSCATO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-486-1115",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Central Potter Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew James Kayes, M.D.
• Rebecca Keagle
• William P Kehr, LCSW
• William T Kelley, MD
• Kathleen M Kerr, PA
• Ekta Khanna, M.D.
• Craig Kinney, PTA
• Dennis Albert Larkin Jr., PTA
• Michael Richard Larsen, DC
• Haleigh Nicole Larson, BSDH, RDH, PHDHP

• Federally Qualified Health Center (FQHC) in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Federally Qualified Health Center (FQHC) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.