Provider Demographics
NPI:1083464606
Name:KEYSTONE SERVICE SYSTEMS INC.
Entity Type:Organization
Organization Name:KEYSTONE SERVICE SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUDOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-232-7509
Mailing Address - Street 1:4391 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3673
Mailing Address - Country:US
Mailing Address - Phone:717-232-7509
Mailing Address - Fax:
Practice Address - Street 1:2926 WILSON PKWY
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1557
Practice Address - Country:US
Practice Address - Phone:717-740-2949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health