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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1982534913
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	:	12510 N WELTY RD STE 100
Second Line	:
City	:	WAYNESBORO
State	:	PA
Zip	:	17268-1757
Country	:	US
Telephone Number	:	223-250-6504
Fax Number	:	717-788-3173

Authorized Official
Title or Position	:	CEO
Name	:	JOANNE COCHRAN
Credential	:
Telephone Number	:	717-709-7906

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “KEYSTONE RURAL HEALTH CENTER ” Practice Location

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