NPI | 1306665211 |
---|---|
Doing Business As | KEYSTONE INTERNAL MEDICINE WAYNESBORO |
Entity Type | Organization |
Authorized Contact | JOANNE COCHRAN CEO 717-709-7906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-10-08 |
Last Update Date | 2024-10-08 |