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NPI Code Detail

MEDICARE: KEYSTONE RURAL HEALTH CENTER

MEDICARE: KEYSTONE RURAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)970589PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1707916OTHERPAMEDICARE
3CL2644OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538166905
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEYSTONE RURAL HEALTH CENTER
Provider Business Mailing Address
First Line : 111 CHAMBERS HILL DR STE 200
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-7304
Country : US
Telephone Number : 717-709-7922
Fax Number : 717-263-2055
Provider Business Practice Location Address
First Line : 820 5TH AVE
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-4219
Country : US
Telephone Number : 717-263-4313
Fax Number : 707-263-0500
Authorized Official
Title or Position : CEO
Name : JOANNE COCHRAN
Credential :
Telephone Number : 717-709-7906
Provider Enumeration Date : 06/30/2005
Last Update Date : 11/25/2025

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Directions to “KEYSTONE RURAL HEALTH CENTER ” Practice Location

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