NPIMap

Organization Active NPI

Keystone Marion, LLC

Doing business as Keystone Marion Youth Center

  • Psychiatric Residential Treatment Facility
  • Marion, VA
National Provider Identifier
1386663516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
84114002 Issued in VA
Legal business name
KEYSTONE MARION, LLC
Doing business as
Keystone Marion Youth Center
Practice address
225 State St
Marion, VA 24354-3127
Phone
(276) 782-1990
Fax
(276) 782-1996
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Duncan
Title
Administrator
Phone
(276) 782-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 84114002 VA Primary

Addresses

Primary practice location

225 State St
Marion, VA 24354-3127

Mailing address

225 State St
Marion, VA 24354-3127
Phone (276) 782-1990

Other names 1

  • Keystone Marion Youth Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Keystone Marion LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 State St
Marion, VA 24354
Phone (276) 782-1990

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386663516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 STATE ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543127",
            "telephone_number": "276-782-1990",
            "fax_number": "276-782-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 STATE ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543127",
            "telephone_number": "276-782-1990",
            "fax_number": "276-782-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE MARION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-782-1990"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "84114002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Marion Youth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.