RIDGWAY MEDICAL CENTER
NPI 1194260943
Clinic/Center - Federally Qualified Health Center (FQHC) in Ridgway, PA
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ridgway Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Ridgway Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, PAFrequently 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.
Is Keystone Rural Health Consortia, Inc enrolled in Medicare?
Yes. Keystone Rural Health Consortia, Inc is registered in the Medicare PECOS enrollment system.
When is Keystone Rural Health Consortia, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Keystone Rural Health Consortia, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Keystone Rural Health Consortia, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Chiropractic (1) and Clinical Social Worker (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ridgway Medical Center · NPI 1194260943
Federally Qualified Health Center (FQHC) organization in Ridgway, Pennsylvania. Organization record, active in the CMS NPPES registry since January 4, 2017.
## Identity
- **NPI:** 1194260943 (Entity type: Organization)
- **Enumerated:** January 4, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Keystone Rural Health Consortia, Inc
- **Organization subpart:** No
- **Authorized official:** Kristie Bennardi, CEO
## Practice location
- **Address:** 49 RIDGMONT DR STE 1, Ridgway, PA 15853-9700
- **Phone:** (814) 245-2119 · **Fax:** (814) 245-2122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Chiropractic (1), Clinical Social Worker (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194260943) · Data from the CMS NPPES public registry.