JOHNSONBURG DENTAL CENTER NPI 1164514683

NPI Information

  • NPI: 1164514683
  • Provider Name: JOHNSONBURG DENTAL CENTER
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: KEYSTONE RURAL HEALTH CONSORTIA, INC.
  • Address: 81 CLARION RD
    JOHNSONBURG, PA
    ZIP 15845
  • Phone: (814) 965-5444

Map and Directions

Get Directions

NPI Details

JOHNSONBURG DENTAL CENTER is a federally qualified health center (fqhc) clinic center in Johnsonburg, PA. JOHNSONBURG DENTAL CENTER NPI is 1164514683. The provider is registered as an organization entity type.
The provider Other Name Is Keystone Rural Health Consortia, Inc..

The provider's business location address is:

81 CLARION RD
JOHNSONBURG, PA
ZIP 15845-656
Phone: (814) 965-5444
Fax: (814) 965-2238

The provider's authorized official is Kristie M Bennardi .
The authorized official title is Ceo and has the following contact phone number (814) 486-1115.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 12/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI