KEYSTONE RURAL HEALTH CONSORTIA INC (NPI# 1174615686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174615686 |
| Entity Type | Organization |
| Organization Name | KEYSTONE RURAL HEALTH CONSORTIA INC |
| Other Organization Name | MOUNTAINTOP AREA MEDICAL CENTER |
| Practice Address |
402 East Sycamore Street Snow Shoe PA 16874-0402 |
| Mailing Address |
90 East Second Street Emporium PA 15834-1302 |
| Practice Telephone | 8143876857 |
| Practice Fax Number | 8143876870 |
| Mailing Telephone | 8144861115 |
| Mailing Fax Number | 8144860404 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | MR. RONALD G HAMMERSLEY (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 8144861115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007763960018 | 05 |
| Other Name | Type Code |
|---|---|
| Mountaintop Area Medical Center | Doing Business As Name - Organization |
| Street Address |
402 EAST SYCAMORE STREET |
| City | SNOW SHOE |
| State | PA |
| Zip Code | 16874-0402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1407018617 | Nathan A Pecht | Dentist | 115 S Moshannon Ave, Apt A, Snow Shoe, PA 16874 | 2008-06-28 |
| 1245546472 | Patricia A Butler | Nurse Practitioner | 402 E Sycamore Rd, Snow Shoe, PA 16874 | 2010-08-25 |
| 1326030065 | Snow Shoe Ambulance & Rescue Service | Ambulance | 492 W Sycamore Rd, Snow Shoe, PA 16874-0127 | 2005-08-18 |
| 1023017050 | Tina Marie Green | Registered Nurse | 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | 2005-07-20 |
| 1508889858 | Moshannon Valley Pharmacy Inc | Pharmacy | 402 E Sycamore Rd, Snow Shoe, PA 16874-8832 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1407018617 | Nathan A Pecht | Dentist | 115 S Moshannon Ave, Apt A, Snow Shoe, PA 16874 | 2008-06-28 |
| 1326030065 | Snow Shoe Ambulance & Rescue Service | Ambulance | 492 W Sycamore Rd, Snow Shoe, PA 16874-0127 | 2005-08-18 |
| 1023017050 | Tina Marie Green | Registered Nurse | 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | 2005-07-20 |
| 1245546472 | Patricia A Butler | Nurse Practitioner | 402 E Sycamore Rd, Snow Shoe, PA 16874 | 2010-08-25 |
| 1508889858 | Moshannon Valley Pharmacy Inc | Pharmacy | 402 E Sycamore Rd, Snow Shoe, PA 16874-8832 | 2006-07-26 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1508478157 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 2463 Emerald St, Philadelphia, PA 19125-1236 | 2020-08-17 |
| 1255943809 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 3116 Frankford Ave, Philadelphia, PA 19134-3827 | 2020-08-17 |
| 1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
| 1326656745 | Keystone Rural Health Center | Clinic/Center | 1030 Fairfield Rd, Gettysburg, PA 17325-7153 | 2020-07-22 |
| 1326656174 | Lancaster Health Center | Clinic/Center | 30 N Ann St, Lancaster, PA 17602-3063 | 2020-07-17 |
| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1538781166 | Hyndman Area Health Center, Inc. | Clinic/Center | 214 College Park Plz Ste 203, Johnstown, PA 15904-2833 | 2020-05-18 |
| 1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
| 1053946079 | Neighborhood Health Centers of The Lehigh Valley | Clinic/Center | 635 E Broad St, Bethlehem, PA 18018-6332 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEYSTONE RURAL HEALTH CONSORTIA INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.