# GEISINGER CLINIC

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

## Provider details

- **NPI number:** 1952719619
- **Authorized official:** CINDY L MULL (DIRECTOR REVENUE MANAGEMENT)
- **Authorized official phone:** (570) 271-6603

## Contact information

- **Practice address:** 790 NORTH BLVD, SUITE K, CLARKS SUMMIT, PA 18411
- **Practice address phone:** (570) 586-4141
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17822-4903
- **Mailing address phone:** (570) 271-6621

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2014
- **Last updated:** 11/12/2014