# GEISINGER HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1952392573
- **Authorized official:** MR. MICHAEL HUMEN ATC (SUPERVISOR OF SPORT MED. SERVICES)
- **Authorized official phone:** (570) 820-6086

## Contact information

- **Practice address:** 1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
- **Practice address phone:** (570) 820-6086
- **Mailing address:** PO BOX 207, SHOHOLA, PA 18458-0207
- **Mailing address phone:** (570) 559-7253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RT003614 | PA | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 08/22/2020