KEYSTONE RURAL HEALTH CONSORTIA, INC. (NPI# 1801988670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801988670 |
| Entity Type | Organization |
| Organization Name | KEYSTONE RURAL HEALTH CONSORTIA, INC. |
| Other Organization Name | MISTY VALLEY HEALTH CENTER |
| Practice Address |
17129 Route 6 Smethport PA 16749-4027 |
| Mailing Address |
17129 Route 6 P.o. Box 457 Smethport PA 16749-4027 |
| Practice Telephone | 8148875395 |
| Practice Fax Number | 8148875342 |
| Mailing Telephone | 8148875395 |
| Mailing Fax Number | 8148875342 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. ANTHONY C. MOSCATO (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 |
|---|---|
| Misty Valley Health 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 |
| 1780776427 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 71 Elk St, Coudersport, PA 16915-9601 | 2006-09-29 |
| 1699867325 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-09-29 |
| 1609968114 | Keystone Rural Health Consortia, Inc. | Clinic/Center | 90 E 2nd St, Emporium, PA 15834-1302 | 2006-09-29 |
| Street Address |
17129 ROUTE 6 |
| City | SMETHPORT |
| State | PA |
| Zip Code | 16749-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528028800 | David L Kulling | Emergency Medicine | 17129 Route 6, Bowman Health Center, Smethport, PA 16749-4027 | 2006-03-23 |
| 1356572614 | Frank Zitnik | Physician Assistant | 17129 Route 6, Smethport, PA 16749-4027 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821524224 | Lori Lingenfelter | Physical Therapy Assistant | 17083 Rt 6, Smethport, PA 16749 | 2017-05-04 |
| 1750641098 | Kali R Carnovale | Speech-Language Pathologist | 17083 U.S. 6, Smethport, PA 16749 | 2012-05-21 |
| 1386941557 | Kerri Fitch | Registered Nurse | 44 Tulip Drive, Smethport, PA 16749 | 2011-02-23 |
| 1083881635 | Fayyaz Qadir | Family Medicine | 406 Franklin St., Smethport, PA 16749 | 2008-05-13 |
| 1447472725 | Denise Borland | Physical Therapist | 176 Bordell Rd, Smethport, PA 16749 | 2007-05-03 |
| 1336204577 | B.l. Gustafson, LLC | Ambulance | 6135 Rt 46 North, Smethport, PA 16749 | 2006-12-27 |
| 1821070699 | Buchanan Brothers Pharmacy Inc | Pharmacy | 313 Main St, Smethport, PA 16749 | 2005-11-17 |
| 1477169472 | Kio Chiropractic | Chiropractor | 301 W Main St, Smethport, PA 16749-1139 | 2020-09-16 |
| 1871117903 | Mary Christine Keglovits | Pharmacist | 313 W Main St, Smethport, PA 16749-1139 | 2020-06-04 |
| 1609424605 | Ryan Thomas Kio | Chiropractor | 301 W Main St, Smethport, PA 16749-1139 | 2019-09-03 |
| Find all providers in zip 16749 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.