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Organization
KELLER ARMY COMMUNITY HOSPITAL
Active
Organization
KELLER ARMY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ITALO M BASTIANELLI MD (DCCS)
(854) 938-6940
Entity
Organization
Contact information
Practice address
11 HAP ARNOLD BLVD, HEALTH CLINIC, TOBYHANNA, PA 18466-5002
(570) 895-6242
(570) 895-6783
Mailing address
11 HAP ARNOLD BLVD, HEALTH CLINIC, TOBYHANNA, PA 18466-5002
(570) 895-6242
(570) 895-6783
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
MD013443E
PA
Other
Enumeration date
03/02/2006
Last updated
08/22/2020
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