Organization
KEYSTONE RURAL HEALTH CONSORTIA INC
Active
Organization
KEYSTONE RURAL HEALTH CONSORTIA INC
Active
Other names
Mountaintop Area Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD G HAMMERSLEY (CEO/ADMINISTRATOR)
(814) 486-1115
Entity
Organization
Contact information
Practice address
402 EAST SYCAMORE STREET, SNOW SHOE, PA 16874-0402
(814) 387-6857
(814) 387-6870
Mailing address
90 EAST SECOND STREET, EMPORIUM, PA 15834-1302
(814) 486-1115
(814) 486-0404
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007763960018
—
PA
Enumeration date
09/29/2006
Last updated
01/28/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up