KEYSTONE RURAL HEALTH CONSORTIA, INC. (NPI# 1699867325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699867325 |
| Entity Type | Organization |
| Organization Name | KEYSTONE RURAL HEALTH CONSORTIA, INC. |
| Other Organization Name | CAMERON COUNTY HEALTH CARE CENTER |
| Practice Address |
90 E 2nd St Emporium PA 15834-1302 |
| Mailing Address |
90 E 2nd St P.o. Box 270 Emporium PA 15834-1302 |
| Practice Telephone | 8144861115 |
| Practice Fax Number | 8144860404 |
| Mailing Telephone | 8144861115 |
| Mailing Fax Number | 8144860404 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | RONALD G HAMMERSLEY (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 8144861115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cameron County Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146884 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 176 Skyline Dr., Kersey, PA 15846 | 2016-10-26 |
| 1053784942 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 172 Skyline Drive, Kersey, PA 15846 | 2015-11-02 |
| 1801988670 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 17129 Route 6, Smethport, PA 16749-4027 | 2006-09-29 |
| 1780776427 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 71 Elk St, Coudersport, PA 16915-9601 | 2006-09-29 |
| 1609968114 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-09-29 |
| Street Address |
90 E 2ND ST |
| City | EMPORIUM |
| State | PA |
| Zip Code | 15834-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710975768 | Jodi Rae Regulski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2005-10-12 |
| 1174173595 | Renee Mostyn | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2019-09-17 |
| 1285150227 | Savanah Marie Krivonyak | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-22 |
| 1215451927 | Kane Dental Center | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-03 |
| 1801338462 | Bryton Dybowski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-11-14 |
| 1902259419 | Tyler Vonberge | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-07-20 |
| 1659638393 | Youna Han | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2012-04-19 |
| 1962773606 | Lauren Yetzer Shaver | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2012-01-25 |
| 1285849919 | Victor Lahnovych | Family Medicine | 90 E 2nd St, Emporium, PA 15834-1302 | 2007-05-14 |
| 1194805275 | Cameron County Dental Center | Clinic/Center | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396940771 | Donna Mckimm | Registered Nurse | 3225 Rich Valley Rd, Emporium, PA 15834 | 2007-06-18 |
| 1346207925 | A Blair Lundberg | Pharmacist | 34 East 4th St, Emporium, PA 15834 | 2006-04-27 |
| 1225487895 | Robin Hammersley | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834 | 2016-06-06 |
| 1740334549 | Joel & June Caldwell Inc | Durable Medical Equipment & Medical Supplies | 105 4th St, Emporium, PA 15834 | 2007-01-22 |
| 1518167584 | Charles A. Blumle D.d.s., P.C. | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2007-07-18 |
| 1669634572 | Charles A Blumle | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2008-07-01 |
| 1659484285 | Cameron County Ambulance Service Inc. | Ambulance | 299 East 2nd Street, Emporium, PA 15834-1339 | 2006-08-17 |
| 1801853064 | William F Wittman | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834-1402 | 2006-04-28 |
| 1245858109 | Elk Regional Health Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2020-07-08 |
| 1386008720 | Dubois Regional Medical Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2016-04-12 |
| Find all providers in zip 15834 | ||||
| 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 |
|---|---|---|---|---|
| 1609968114 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-09-29 |
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|---|---|---|---|---|
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| 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.