Organization
KEYSTONE RURAL HEALTH CONSORTIA, INC.
Active
Organization
KEYSTONE RURAL HEALTH CONSORTIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE BENNARDI RN (CEO)
(814) 486-1115
Entity
Organization
Contact information
Practice address
172 SKYLINE DRIVE, KERSEY, PA 15846
(814) 486-1115
Mailing address
90 E 2ND ST, EMPORIUM, PA 15834-1302
(814) 486-1115
(814) 486-1204
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
10/26/2016
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