Old Vineyard Behavioral Health Services

LBN: Keystone Wsnc, Llc
Old Vineyard Behavioral Health Services is an health care organization with primary practice located at 3637 Old Vineyard Rd , Winston Salem NC 27104-4842. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Hospitals / Psychiatric Hospital is the primary health care specialty. Keystone Wsnc, Llc can be contacted via phone (336) 794-3550, or through Filton, Steve via phone (610) 768-3300.

Contact Information

Primary practice address
3637 Old Vineyard Rd Winston Salem NC 27104-4842
Phone: (336) 794-3550
Fax: (336) 794-3545
Website:
Map and Directions
Authorized official contact:
Name: Filton, Steve
Phone: (610) 768-3300

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X MHH0188 North Carolina
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHH0188 North Carolina

Profile Details

NPI number 1922038082
LBN Legal business name Keystone Wsnc, Llc
DBA Doing business as Old Vineyard Behavioral Health Services
Authorized official Filton, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 19th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922038082 NPPES
North Carolina MEDICAID 3404007
North Carolina MEDICAID 3404520

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