NPIMap

Organization Active NPI

Keystone Rural Health Center

Doing business as Keystone Urgent Care Chambers Hill Drive

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
National Provider Identifier
1790064772
Registry record updated Jun 17, 2026
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 Chambers Hill Drive
Practice address
111 Chambers Hill Dr Ste 100
Chambersburg, PA 17201-7304
Phone
(717) 709-7979
Fax
(717) 709-7980
NPI assigned
Aug 9, 2011
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KEYSTONE RURAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

111 Chambers Hill Dr Ste 100
Chambersburg, PA 17201-7304

Mailing address

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

Other names 2

  • Keystone Urgent Care Chambers Hill Drive Doing business as
  • Keystone Urgent Care 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
O20111014000039 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 1790064772. Details of each certification follow.

Federally qualified health center certification: CCN 391017

Legal name
KEYSTONE RURAL HEALTH CENTER
Doing business as
KEYSTONE URGENT CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 17, 2011
Last certification
Oct 17, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 18, 1987 in PA
Enrollment address
111 Chambers Hill Dr
Ste 100
Chambersburg, PA 17201-7304

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
39D2029527Keystone Urgent Care111 Chambers Hill Drive, Suite 100, Chambersburg, PA 17201Certificate of waiverSep 8, 2027

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

Locations

133 W Catherine St
Ste 100
Chambersburg, PA 17201
Phone (717) 261-4933

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
Lissett Jones Individual Corporate DirectorBoard Member Jan 5, 2022
Carrie Gray Individual Corporate OfficerChair Oct 1, 2017
Michael Kugler Individual Corporate Officer Sep 1, 2011
Corporate DirectorBoard Member Sep 1, 2011
Timothy Henry Individual Corporate DirectorBoard Member Dec 1, 2017
Scott Brown Individual Corporate DirectorBoard Member Jun 2, 2021
Joanne L Cochran Individual Corporate Officer Sep 1, 2011
Corporate DirectorPresident and Ceo Sep 1, 2011
W-2 Managing EmployeePresident and Ceo Sep 1, 2011
Kibreab Gudeta Individual Corporate DirectorBoard Member Jan 1, 2020
William a Morgan Individual Corporate OfficerBoard Member Sep 1, 2011
Corporate Director Sep 1, 2011
Karen Pickenheim Johnston Individual Corporate OfficerSecretary Sep 1, 2011
Corporate Director Sep 1, 2011
Virginia Harriger Individual Corporate DirectorBoard Member Nov 3, 2021
Jeffrey Truhan Individual Corporate DirectorBoard Member Aug 1, 2016
Sila Alegret-Bartel Individual Corporate OfficerBoard Member Sep 1, 2011
Corporate Director Sep 1, 2011
Brittany Henderson Individual Corporate DirectorBoard Member Jan 5, 2022
Matthew Fogel Individual Corporate DirectorBoard Member Dec 1, 2017

Practitioners & affiliated clinicians

Practitioners 10

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": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1790064772",
    "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": "111 CHAMBERS HILL DR STE 100",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7979",
            "fax_number": "717-709-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE RURAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE RURAL HEALTH CENTER",
        "enumeration_date": "2011-08-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-709-7906",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Urgent Care Chambers Hill Drive",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.