# GEISINGER CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PrimeMed Medical Grp Moosic in collaboration w/Geisinger Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427465848
- **Authorized official:** CINDY L MULL (DIRECTOR REVENUE MGMT)
- **Authorized official phone:** (570) 271-5555

## Contact information

- **Practice address:** 340 MONTAGE MTN RD, MOOSIC, PA 18507-1782
- **Practice address phone:** (570) 969-1669
- **Practice address fax:** (570) 207-0883
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17822-4903
- **Mailing address phone:** (570) 271-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2014
- **Last updated:** 11/12/2014