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	261QD0000X	Dental Clinic/Center
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1124026703
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	:	767 5TH AVE STE B-3A
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-4207
Country	:	US
Telephone Number	:	717-709-7940
Fax Number	:	717-263-8014

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	11/25/2025

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Directions to “KEYSTONE RURAL HEALTH CENTER ” Practice Location

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