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RIDGWAY MEDICAL CENTER
NPI 1194260943
Clinic/Center - Federally Qualified Health Center (FQHC) in Ridgway, PA

Active since January 04, 2017CLIA 39D2125989 · Waiver
49 RIDGMONT DR STE 1, RIDGWAY, PA 15853(814) 245-2119(814) 245-2122 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2020, Jan 4, 2017 (2 updates tracked since 2017).

About Ridgway Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDGWAY MEDICAL CENTER (NPI 1194260943) is a healthcare organization registered as a federally qualified health center (fqhc) in Ridgway, Pennsylvania and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Kristie Bennardi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194260943
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKEYSTONE RURAL HEALTH CONSORTIA, INC
Location Address49 RIDGMONT DR STE 1Ridgway, PA 15853-9700
Mailing Address90 E 2nd St, P.o. Box 270Emporium, PA 15834-1302 · (814) 486-1115
Phone(814) 245-2119
Fax(814) 245-2122
Organization SubpartNo
Authorized OfficialKristie BennardiCeo · (814) 486-1115
Enumeration DateJanuary 4, 2017
Last NPPES UpdateJanuary 2, 20202 updates tracked since enumeration
✔ NPI 1194260943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
49 RIDGMONT DR STE 1, Ridgway, PA 15853
Open in Google Maps ↗

Other Names 1

Doing Business AsRidgway Medical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2125989

Ridgway Medical Center · Ridgway, PA
Active · expires Feb 16, 2027
CLIA Number39D2125989
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorDr. Victor Lahnovych
Laboratory Phone(814) 245-2119
Laboratory LocationRidgway Medical Center49 Ridgemont Drive, Suite 1, Ridgway, PA 15853
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA NICOLE DELULLO
Community Health Worker
49 RIDGMONT DR STE 1
RIDGWAY, PA 15853
Elk County (814) 245-2119
EMMA GRACE MCGONIGAL LCSW
Social Worker (Clinical)
49 RIDGMONT DR STE 1
RIDGWAY, PA 15853
Elk County (814) 527-1135
TERESA JO ELMQUIST CRNP- FNP-C
Nurse Practitioner (Family)
49 RIDGMONT DR STE 1
RIDGWAY, PA 15853
Elk County (814) 245-2119
KELLY LEE MYERS FNP-C
Nurse Practitioner (Family)
49 RIDGMONT DR STE 1
RIDGWAY, PA 15853
Elk County (814) 245-2119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keystone Rural Health Consortia, Inc's NPI number?

The NPI number for Keystone Rural Health Consortia, Inc is 1194260943. It was assigned to this organization in the NPPES registry on January 4, 2017. The provider is doing business as Ridgway Medical Center.

Where is Keystone Rural Health Consortia, Inc located?

Keystone Rural Health Consortia, Inc is located at 49 Ridgmont Dr Ste 1, Ridgway, PA 15853. The listed phone number is (814) 245-2119.

What is Keystone Rural Health Consortia, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Keystone Rural Health Consortia, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2125989) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keystone Rural Health Consortia, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Keystone Rural Health Consortia, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keystone Rural Health Consortia, Inc was last updated on January 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.