Keystone Autism Services

LBN: Keystone Autism Services
Keystone Autism Services is an health care organization with primary practice located at 124 Pine St , Harrisburg PA 17101-1208. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization. Agencies / Community/Behavioral Health is the primary health care specialty. Keystone Autism Services can be contacted via phone (717) 232-7509, or through Hooker, Charles via phone (717) 232-7509.

Contact Information

Primary practice address
124 Pine St Harrisburg PA 17101-1208
Phone: (717) 232-7509
Fax: (717) 232-6687
Website:
Map and Directions
Authorized official contact:
Name: Hooker, Charles
Phone: (717) 232-7509

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 331960 Pennsylvania
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X 2953440 Pennsylvania

Profile Details

NPI number 1811186208
LBN Legal business name Keystone Autism Services
DBA Doing business as
Authorized official Hooker, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Nov 4th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811186208 NPPES
Pennsylvania MEDICAID 1020600830001
Pennsylvania MEDICAID 1020600830003
Pennsylvania MEDICAID 1020600830006
Pennsylvania MEDICAID 1020600830004

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