NPIMap

Organization Active NPI

Keystone College

  • Clinic/Center
  • La Plume, PA
National Provider Identifier
1649403007
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KEYSTONE COLLEGE
Practice address
1 College GRN
La Plume, PA 18440-1000
Phone
(570) 945-8000
Fax
(570) 945-6960
NPI assigned
Sep 1, 2009
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Mrs. Abbey Oatman, PHYSICIAN ASSISTANT
Title
Director of Health Services
Phone
(570) 945-8254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1 College GRN
La Plume, PA 18440-1000

Mailing address

1 College GRN
La Plume, PA 18440-1000
Phone (570) 945-8000

Other identifiers 1

IdentifierTypeStateIssuer
102481620001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1649403007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLLEGE GRN",
            "city": "LA PLUME",
            "state": "PA",
            "postal_code": "184401000",
            "telephone_number": "570-945-8000",
            "fax_number": "570-945-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE GRN",
            "city": "LA PLUME",
            "state": "PA",
            "postal_code": "184401000",
            "telephone_number": "570-945-8000",
            "fax_number": "570-945-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "OATMAN",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "570-945-8254",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102481620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plume, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.