Organization
KELLER ARMY COMMUNITY HOSPITAL
Active
Parent organization
KELLER ARMY COMMUNITY HOSPITAL
Other names
USAOHC TOBYHANNA ARMY DEPOT
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLER ARMY COMMUNITY HOSPITAL
Authorized official
KENNETH TUFFY (UBO MANAGER)
(845) 938-8239
Entity
Organization
Contact information
Practice address
11 HAP ARNOLD BLVD, TOBYHANNA, PA 18466-5002
(800) 552-2907
Mailing address
900 WASHINGTON RD, ATTN: MCUD-RMD-UBO, WEST POINT, NY 10996-1109
(845) 938-8239
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528161916
PARENT FACILITY NPI
—
Enumeration date
05/14/2007
Last updated
12/20/2012
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