Organization
KEYSTONE RURAL HEALTH CONSORTIA, INC
Active
Other names
Ridgway Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE BENNARDI CEO (CEO)
(814) 486-1115
Entity
Organization
Contact information
Practice address
49 RIDGMONT DR STE 1, RIDGWAY, PA 15853-9700
(814) 245-2119
(814) 245-2122
Mailing address
90 E 2ND ST, P.O. BOX 270, EMPORIUM, PA 15834-1302
(814) 486-1115
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/02/2020
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