KELLER ARMY COMMUNITY HOSPITAL (NPI# 1861469355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861469355 |
| Entity Type | Organization |
| Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| Practice Address |
11 Hap Arnold Blvd Health Clinic Tobyhanna PA 18466-5002 |
| Practice Telephone | 5708956242 |
| Practice Fax Number | 5708956783 |
| Mailing Telephone | 5708956242 |
| Mailing Fax Number | 5708956783 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ITALO M BASTIANELLI (DCCS) |
| Authorized Official Telephone | 8549386940 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | MD013443E | PA | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1275747149 | Keller Army Community Hospital | Clinic/Center | 5631 Baltimore St, Fort Dix, NJ 08640-5440 | 2007-05-10 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1528167970 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 | 2006-09-22 |
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1861898942 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 114 White Ave, Brooklyn, NY 11252-9503 | 2014-11-17 |
| 1497160113 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Keller Army Community Hospital, Building 900 900 Washington Road, West Point, NY 10996-1197 | 2014-06-23 |
| Street Address |
11 HAP ARNOLD BLVD HEALTH CLINIC |
| City | TOBYHANNA |
| State | PA |
| Zip Code | 18466-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225243181 | Keller Army Community Hospital | Clinic/Center | 11 Hap Arnold Blvd, Tobyhanna, PA 18466-5002 | 2007-05-14 |
| 1497789994 | Richard Lippin | Preventive Medicine | 11 Hap Arnold Blvd, Occupational Health Clinic-tobyhanna Army Depot, Tobyhanna, PA 18466-5002 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718061 | Katelyn Mckillop | Physician Assistant | 5074 Seneca Way, Tobyhanna, PA 18466 | 2020-07-24 |
| 1508330663 | Devereux Foundation | Day Training, Developmentally Disabled Services | 11 Carriage Square, Tobyhanna, PA 18466 | 2019-01-11 |
| 1144743873 | Luisa Tieso | Psychologist | 6167 Somers Terr, Tobyhanna, PA 18466 | 2017-07-25 |
| 1982087797 | Patricia Detrick | Physical Therapy Assistant | 100 Communtiy Drive, Suite 105, Tobyhanna, PA 18466 | 2015-06-30 |
| 1376959569 | Mountain Valley Orthopedics PC | Pharmacy | 100 Community Drive Stuite 210, Tobyhanna, PA 18466 | 2014-07-08 |
| 1346674975 | Michelle Backus | Social Worker | 633 Lakeside Drive, Tobyhanna, PA 18466 | 2013-08-30 |
| 1205107067 | Sharon and Cynthia | Home Health | 9249 Westwood Dr, Tobyhanna, PA 18466 | 2012-01-25 |
| 1689942260 | Family Care Centers, Inc. | Internal Medicine | 100 Community Drive, Suite 102, Tobyhanna, PA 18466 | 2011-12-09 |
| 1942599063 | Diane Latosek | Pharmacist | 12 Carriage Square, Tobyhanna, PA 18466 | 2011-03-29 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| Find all providers in zip 18466 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104271493 | Alyssa Hoffee | Rehabilitation Unit | 904 Beaver Grade Rd, Coraopolis, PA 15108-2716 | 2016-04-25 |
| 1316211865 | Back In Line Chiropractic and Wellness Center, PC | Rehabilitation Unit | 300 Cattell St Fl 1, Easton, PA 18042-7606 | 2012-03-01 |
| 1588969307 | Wellspan Specialty Services | Rehabilitation Unit | 55 Monument Rd., York, PA 17403 | 2011-01-26 |
| 1821301888 | Occupational & Hand Therapy Specialists | Rehabilitation Unit | 1495 S Queen St, York, PA 17403-3852 | 2010-07-20 |
| 1124269261 | Temple University Hospital | Rehabilitation Unit | 612 W Naomi St, Philadelphia, PA 19144-3711 | 2009-03-19 |
| 1629075791 | Acadia, Inc. | Rehabilitation Unit | 1817 Olde Homestead Ln, Suite 201, Lancaster, PA 17601-6751 | 2005-07-05 |
| 1780686931 | St Mary Medical Center | Rehabilitation Unit | 1201 Langhorne-newtown Rd, Langhorne, PA 19047-1295 | 2005-06-01 |
| 1487287488 | Acute Rehab Center At Guthrie Towanda Memorial Hospital | Rehabilitation Unit | 91 Hospital Dr, Towanda, PA 18848-9702 | 2020-02-18 |
| 1255823845 | Schuylkill Medical Center - South Jackson Street | Rehabilitation Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
| 1386162014 | Phoenixville Hospital, LLC | Rehabilitation Unit | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.