Keystone Medical, Pllc

LBN: Keystone Medical, Pllc
Keystone Medical, Pllc is an health care organization with primary practice located at 77 Calle Portal Suite B260A, Sierra Vista AZ 85635-2967. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Keystone Medical, Pllc can be contacted via phone (520) 226-4338, or through Pradhan-Nara, Rebecca via phone (520) 266-4338.

Contact Information

Primary practice address
77 Calle Portal Suite B260A Sierra Vista AZ 85635-2967
Phone: (520) 226-4338
Fax: (520) 515-9786
Website:
Map and Directions
Authorized official contact:
Name: Pradhan-Nara, Rebecca Doctor of Medicine (MD)
Phone: (520) 266-4338

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32180 Arizona
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 32180 Arizona
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 32180 Arizona

Profile Details

NPI number 1477975647
LBN Legal business name Keystone Medical, Pllc
DBA Doing business as
Authorized official Pradhan-Nara, Rebecca Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2014
Last updated Jan 20th, 2016 - about 8 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 1477975647 NPPES
Arizona MEDICAID 897280

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