Organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
Active
Parent organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEISINGER WYOMING VALLEY MEDICAL CENTER
Authorized official
CINDY L MULL (SYSTEM DIRECTOR)
(570) 271-6603
Entity
Organization
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711
(570) 826-7300
Mailing address
100 NORTHY ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583620001
DME
—
Enumeration date
03/01/2007
Last updated
09/29/2020
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