| Keystone Rural Health Consortia, Inc. | |
|
172 Skyline Drive Kersey PA 15846 | |
| (814) 486-1115 | |
| Not Available |
| Full Name | Keystone Rural Health Consortia, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 172 Skyline Drive, Kersey, Pennsylvania |
| Authorized Official Name and Position | Kristie Bennardi (CEO) |
| Authorized Official Contact | 8144861115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Rural Health Consortia, Inc. 90 E 2nd St Emporium PA 15834-1302 Ph: (814) 486-1115 | Keystone Rural Health Consortia, Inc. 172 Skyline Drive Kersey PA 15846 Ph: (814) 486-1115 |
| NPI Number | 1053784942 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053784942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Keystone Rural Health Consortia, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Skyline Dr., Kersey, PA 15846 Phone: 814-486-1115 |