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

Misty Valley Health Center

Practice address

17129 Route 6
Smethport, PA 16749-4027

Phone

(814) 887-5395

Fax

(814) 887-5342

NPI assigned

Sep 29, 2006

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

• Misty Valley Health Center Doing business as

Locations

Practitioners 1

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

• Frank Zitnik, PA-C

  • Medical Physician Assistant
  • Smethport, PA
  • NPI 1356572614
  NPD (past)

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": "1801988670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17129 ROUTE 6",
            "address_2": "P.O. BOX 457",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167494027",
            "telephone_number": "814-887-5395",
            "fax_number": "814-887-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17129 ROUTE 6",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167494027",
            "telephone_number": "814-887-5395",
            "fax_number": "814-887-5342"
        }
    ],
    "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": "Misty Valley Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Christopher Forrestel, MD
• Jacquelyn Marie Gerg, MS CCC SLP
• Jamie Jividen, RDH
• James B. Kane Jr., DMD
• Mary Christine Keglovits
• Kio Chiropractic
• Ryan Thomas Kio, DC
• Lakeview Healthcare Operating LLC
• Lakeview Senior Care & Living Center LLC
• Nicole J Leet, LPN

• Federally Qualified Health Center (FQHC) in Smethport, PA
• Providers in Smethport, 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.