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KEYSTONE WSNC LLC NPI 1922038082


NPI Information

NPI: 1922038082
Provider Name: KEYSTONE WSNC, LLC

Doing Business As: OLD VINEYARD BEHAVIORAL HEALTH SERVICES

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
3637 OLD VINEYARD RD
WINSTON SALEM, NC
ZIP 27104
Phone: (336) 794-3550
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KEYSTONE WSNC, LLC is a psychiatric hospital in Winston Salem, NC. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. KEYSTONE WSNC, LLC NPI is 1922038082. The provider is registered as an organization entity type.
The provider Is Doing Business As Old Vineyard Behavioral Health Services.

The provider's business location address is:

3637 OLD VINEYARD RD
WINSTON SALEM, NC
ZIP 27104-842
Phone: (336) 794-3550
Fax: (336) 794-3545

The provider's authorized official is Steve Filton .
The authorized official title is Sr Vp Cfo and has the following contact phone number (610) 768-3300.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 12/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment FacilityMHH0188NORTH CAROLINANo
2283Q00000XPsychiatric HospitalMHH0188NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13404007MEDICAIDNORTH CAROLINA
23404520MEDICAIDNORTH CAROLINA
3344007MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.