| Keystone Rural Health Consortia, Inc | |
|
49 Ridgmont Dr Ste 1 Ridgway PA 15853-9700 | |
| (814) 245-2119 | |
| (814) 245-2122 |
| Full Name | Keystone Rural Health Consortia, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 49 Ridgmont Dr Ste 1, Ridgway, Pennsylvania |
| Authorized Official Name and Position | Kristie Bennardi (CEO) |
| 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 49 Ridgmont Dr Ste 1 Ridgway PA 15853-9700 Ph: (814) 245-2119 |
| NPI Number | 1194260943 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/02/2020 |
| Medicare PECOS PAC ID | 8022055078 |
|---|---|
| Medicare Enrollment ID | O20170419000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194260943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dubois Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hospital St, Ridgway, PA 15853 Phone: 814-788-5660 Fax: 814-788-5663 | |
Dubois Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 W Main St, Ridgway, PA 15853 Phone: 814-772-8122 Fax: 814-772-7278 | |
Elk Regional Professional Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-788-5456 Fax: 814-772-7278 | |
Fernan Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S. Mill St., Ridgway, PA 15853 Phone: 814-772-0722 Fax: 814-772-6934 |