# 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:** 1972910354
- **Authorized official:** CINDY L MULL (DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (570) 271-5555

## Contact information

- **Practice address:** 231 NORTHERN BLVD, STE 3, CLARKS SUMMIT, PA 18411
- **Practice address phone:** (570) 586-4141
- **Practice address fax:** (570) 586-6722
- **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