# KEYSTONE RURAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KEYSTONE RURAL HEALTH CENTER
- **Other names:** Keystone Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992517668
- **Legal business name:** KEYSTONE RURAL HEALTH CENTER
- **Authorized official:** JOANNE COCHRAN (PRESIDENT & CEO)
- **Authorized official phone:** (717) 709-7906

## Contact information

- **Practice address:** 767 5TH AVE STE B3-A, CHAMBERSBURG, PA 17201-4207
- **Practice address phone:** (717) 709-7940
- **Practice address fax:** (717) 263-8014
- **Mailing address:** 111 CHAMBERS HILL DR STE 200, CHAMBERSBURG, PA 17201-7304
- **Mailing address phone:** (717) 709-7922
- **Mailing address fax:** (717) 263-2055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2025
- **Last updated:** 01/21/2025