KEYSTONE RURAL HEALTH CONSORTIA INC. NPI 1609968114

NPI Information

NPI: 1609968114
Provider Name: KEYSTONE RURAL HEALTH CONSORTIA, INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Address: 90 E 2ND ST
EMPORIUM, PA
ZIP 15834
Phone: (814) 486-1115

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NPI Details

KEYSTONE RURAL HEALTH CONSORTIA, INC. is a federally qualified health center (fqhc) clinic center in Emporium, PA. KEYSTONE RURAL HEALTH CONSORTIA, INC. NPI is 1609968114. The provider is registered as an organization entity type.

The provider's business location address is:

90 E 2ND ST
EMPORIUM, PA
ZIP 15834-302
Phone: (814) 486-1115
Fax: (814) 486-0404

The provider's authorized official is Kristie Bennardi .
The authorized official title is Administrator 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 5/28/2014.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	391888	MEDICARE OSCAR/CERTIFICATION	PENNSYLVANIA

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: 3/30/2025

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