| Keystone Pediatrics | |
|
830 Fifth Avenue Suite 103 Chambersburg PA 17201 | |
| (717) 709-7950 | |
| Not Available |
| Full Name | Keystone Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 830 Fifth Avenue, Chambersburg, Pennsylvania |
| Authorized Official Name and Position | Joanne Cochran (CEO) |
| Authorized Official Contact | 7177097906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Pediatrics 111 Chambers Hill Dr Ste 200 Chambersburg PA 17201-7304 Ph: (717) 709-7922 | Keystone Pediatrics 830 Fifth Avenue Suite 103 Chambersburg PA 17201 Ph: (717) 709-7950 |
| NPI Number | 1861785669 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 5496663312 |
|---|---|
| Medicare Enrollment ID | O20100506000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861785669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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