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
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None 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.