| Organization Name: | KEYSTONE RURAL HEALTH CENTER |
| NPI Number: | 1003813098 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOANNE COCHRAN (PRESIDENT/CEO) |
| Mailing Address: | 755 Norland Ave Suite 101 Chambersburg |
| State: | PA US |
| Postal Code: | 172014230 |
| Phone Number: | 7172176830 |
| Fax Number: | 7172176915 |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 05/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 970589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |