| Keystone Pediatrics | |
|
45 Roadside Ave Frnt Waynesboro PA 17268-2543 | |
| (717) 387-8060 | |
| (717) 263-2055 |
| Full Name | Keystone Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 45 Roadside Ave Frnt, Waynesboro, Pennsylvania |
| Authorized Official Name and Position | Joanne L Cochran (PRESIDENT AND 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 45 Roadside Ave Frnt Waynesboro PA 17268-2543 Ph: (717) 387-8060 |
| NPI Number | 1780044685 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 06/14/2023 |
| Medicare PECOS PAC ID | 5496663312 |
|---|---|
| Medicare Enrollment ID | O20160629002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780044685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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