Organization
KEYSTONE RURAL HEALTH CONSORTIA, INC.
Active
Organization
KEYSTONE RURAL HEALTH CONSORTIA, INC.
Active
Other names
Misty Valley Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY C. MOSCATO (ADMINISTRATOR)
(814) 486-1115
Entity
Organization
Contact information
Practice address
17129 ROUTE 6, SMETHPORT, PA 16749-4027
(814) 887-5395
(814) 887-5342
Mailing address
17129 ROUTE 6, P.O. BOX 457, SMETHPORT, PA 16749-4027
(814) 887-5395
(814) 887-5342
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
01/29/2008
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