Organization · Type 2 NPI

Keystone Rural Health Consortia Inc

Federally Qualified Health Center (FQHC) · Snow Shoe, PA

NPI number 1174615686 Active

Practice location

402 East Sycamore Street
Snow Shoe, PA 16874-0402

Fax (814) 387-6870

Mailing address

90 East Second Street
Emporium, PA 15834-1302

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Primary Care Clinic/Center 261QP2300XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

About NPI 1174615686

Keystone Rural Health Consortia Inc's National Provider Identifier is 1174615686, issued on Sep 29, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Snow Shoe, PA. The record was last updated on Jan 28, 2011.