| Keystone Rural Health Consortia, Inc. | |
|
81 Clarion Rd Johnsonburg PA 15845-1656 | |
| (814) 965-5444 | |
| (814) 965-2238 |
| Full Name | Keystone Rural Health Consortia, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 81 Clarion Rd, Johnsonburg, Pennsylvania |
| Authorized Official Name and Position | Kristie M Bennardi (CEO) |
| Authorized Official Contact | 8144861115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Rural Health Consortia, Inc. 81 Clarion Rd Johnsonburg PA 15845-1656 Ph: (814) 965-5444 | Keystone Rural Health Consortia, Inc. 81 Clarion Rd Johnsonburg PA 15845-1656 Ph: (814) 965-5444 |
| NPI Number | 1164514683 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164514683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |