Keystone Rural Health Consortia, Inc.
NPI #1801988670 in Smethport, Pennsylvania
Provider Information
- NPI Number
- 1801988670
- 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 29, 2008
Practice Location
- Address
- 17129 ROUTE 6
- City
- Smethport
- State
- Pennsylvania
- ZIP Code
- 16749-4027
- Phone
- (814) 887-5395
Authorized Official
- Name
- MR. ANTHONY C. MOSCATO
- Title
- ADMINISTRATOR
- Phone
- (814) 486-1115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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