Keystone Blue Hen Pc

LBN: Berks Therapeutic Alliance
Keystone Blue Hen Pc is an health care organization with primary practice located at 845 N Park Rd Suite 101, Wyomissing PA 19610-1342. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Emergency Medicine. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Berks Therapeutic Alliance can be contacted via phone (610) 334-8131, or through Depue, Scot Mason via phone (484) 769-7626.

Contact Information

Primary practice address
845 N Park Rd Suite 101 Wyomissing PA 19610-1342
Phone: (610) 334-8131
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Depue, Scot Mason Doctor of Medicine (MD)
Phone: (484) 769-7626

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MD426302 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PC002868 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD426302 Pennsylvania

Profile Details

NPI number 1497167167
LBN Legal business name Berks Therapeutic Alliance
DBA Doing business as Keystone Blue Hen Pc
Authorized official Depue, Scot Mason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2014
Last updated May 28th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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