| Organization Name: | KELLER ARMY COMMUNITY HOSPITAL |
| NPI Number: | 1861469355 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ITALO M BASTIANELLI (DCCS) |
| Mailing Address: | 11 Hap Arnold Blvd Health Clinic Tobyhanna |
| State: | PA US |
| Postal Code: | 184665002 |
| Phone Number: | 5708956242 |
| Fax Number: | 5708956783 |
| NPI Enumeration Date: | 03/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 273Y00000X |
| License Number: | MD013443E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Rehabilitation Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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 |