# GEISINGER CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255445748
- **Authorized official:** KENNETH HOLDREN (CAO)
- **Authorized official phone:** (570) 271-5490

## Contact information

- **Practice address:** 529 TERRY REILEY WAY, POTTSVILLE, PA 17901
- **Practice address phone:** (570) 624-4444
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17822-3034
- **Mailing address phone:** (570) 271-6211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 342230 | HIGHMARK BS \# | PA |