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CH03230C KEYSTONE RURAL HEALTH CONSORTIA INC (Terminated)
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Main Details
Name
KEYSTONE RURAL HEALTH CONSORTIA INC
Subdivision Name
Johnsonburg Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008087
340B ID
CH03230C
Grant Number
H80CS00688
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
1/29/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Keystone Rural Health Consortia, Inc.
Kristie Bennardi, CEO
(814) 486-1115
Primary Contact
Keystone Rural Health Consortia, Inc.
Danielle Reed, Staff Accountant
(814) 486-1115 Ext: 501
Addresses
Street Address
81 Clarion Rd
Johnsonburg, PA 15845-1656
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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