Keystone Rural Health Consortia INC

NPI #1174615686 in Snow Shoe, Pennsylvania

Provider Information

NPI Number
1174615686
Entity Type
Organization
Organization Name
Keystone Rural Health Consortia INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 29, 2006
Last Updated
Jan 28, 2011

Practice Location

Address
402 EAST SYCAMORE STREET
ZIP Code
16874-0402
Phone
(814) 387-6857

Authorized Official

Name
MR. RONALD G HAMMERSLEY
Title
CEO/ADMINISTRATOR
Phone
(814) 486-1115

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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