| Keystone Rural Health Consortia, Inc. | |
|
90 E 2nd St Emporium PA 15834-1302 | |
| (814) 486-1115 | |
| (814) 486-0404 |
| Full Name | Keystone Rural Health Consortia, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 90 E 2nd St, Emporium, Pennsylvania |
| Authorized Official Name and Position | Kristie Bennardi (ADMINISTRATOR) |
| Authorized Official Contact | 8144861115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Rural Health Consortia, Inc. 90 E 2nd St P.o. Box 270 Emporium PA 15834-1302 Ph: (814) 486-1115 | Keystone Rural Health Consortia, Inc. 90 E 2nd St Emporium PA 15834-1302 Ph: (814) 486-1115 |
| NPI Number | 1609968114 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 05/28/2014 |
| Medicare PECOS PAC ID | 8022055078 |
|---|---|
| Medicare Enrollment ID | O20050412000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609968114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Patricia Ann Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245546472 PECOS PAC ID: 2769399799 Enrollment ID: I20110121000805 |
| Provider Name | Mahmud Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801001615 PECOS PAC ID: 8123297165 Enrollment ID: I20110809000650 |
| Provider Name | Victor Lahnovych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285849919 PECOS PAC ID: 9739263690 Enrollment ID: I20160218001715 |
| Provider Name | Kathryn Bizzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326629742 PECOS PAC ID: 8628470291 Enrollment ID: I20210706002575 |
| Provider Name | Nathaniel Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750877197 PECOS PAC ID: 6103229901 Enrollment ID: I20210730000024 |
| Provider Name | Chloe Ann Casteel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144988452 PECOS PAC ID: 3173913993 Enrollment ID: I20211209000117 |
| Provider Name | Kelly Lee Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881357903 PECOS PAC ID: 7012309792 Enrollment ID: I20220111000126 |
| Provider Name | Jennifer Mayhue |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619337490 PECOS PAC ID: 9739530759 Enrollment ID: I20240103004332 |
Penn Highlands Dubois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 E 4th St, Emporium, PA 15834 Phone: 814-788-8580 | |
Elk Regional Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 N Broad St, Emporium, PA 15834 Phone: 814-486-2202 Fax: 814-486-0973 | |
Emporium Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 288 Sizerville Rd, Emporium, PA 15834 Phone: 814-486-0810 | |
Penn Highlands Dubois Family Medicine Bowser Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 N Broad St, Emporium, PA 15834 Phone: 814-486-2202 Fax: 814-788-4616 | |
Penn Highlands Dubois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 N Broad St, Emporium, PA 15834 Phone: 814-486-2202 Fax: 814-486-0973 | |
Ahi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 N Broad St, Emporium, PA 15834 Phone: 814-486-2202 Fax: 814-486-0998 |