# KELLER ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861469355
- **Authorized official:** DR. ITALO M BASTIANELLI MD (DCCS)
- **Authorized official phone:** (854) 938-6940

## Contact information

- **Practice address:** 11 HAP ARNOLD BLVD, HEALTH CLINIC, TOBYHANNA, PA 18466-5002
- **Practice address phone:** (570) 895-6242
- **Practice address fax:** (570) 895-6783
- **Mailing address:** 11 HAP ARNOLD BLVD, HEALTH CLINIC, TOBYHANNA, PA 18466-5002
- **Mailing address phone:** (570) 895-6242
- **Mailing address fax:** (570) 895-6783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | MD013443E | PA | Yes |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 08/22/2020