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NPI Code Detail

MEDICARE: KEYSTONE SERVICE SYSTEMS, INC

MEDICARE: KEYSTONE SERVICE SYSTEMS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497872170
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEYSTONE SERVICE SYSTEMS, INC
Provider Business Mailing Address
First Line : 124 PINE ST
Second Line :
City : HARRISBURG
State : PA
Zip : 17101-1208
Country : US
Telephone Number : 717-232-7509
Fax Number : 717-232-7509
Provider Business Practice Location Address
First Line : 2505 N FRONT ST
Second Line :
City : HARRISBURG
State : PA
Zip : 17110-1147
Country : US
Telephone Number : 717-232-7509
Fax Number : 717-232-6687
Authorized Official
Title or Position : CEO
Name : MR. CHARLIE HOOKER
Credential :
Telephone Number : 717-232-7509
Provider Enumeration Date : 03/26/2007
Last Update Date : 08/22/2020

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Directions to “KEYSTONE SERVICE SYSTEMS, INC ” Practice Location

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