Organization
GEISINGER COMMUNITY HEALTH SERVICES
Active
Parent organization
GEISINGER COMMUNITY HEALTH SERVICES
Other names
LIFE Geisinger
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEISINGER COMMUNITY HEALTH SERVICES
Authorized official
MS. DEBBIE PALMER (PROGRAM COORDINATOR)
(570) 214-9806
Entity
Organization
Contact information
Practice address
592 S. MAIN STREET, WILKES-BARRE, PA 18701-2102
(570) 808-4780
(570) 808-4781
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 214-9790
(570) 214-9791
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
251T00000X
PA
251T00000X
PACE Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038000028
—
PA
05
—
1000038000035
—
PA
05
—
1000038000038
—
PA
Enumeration date
05/28/2006
Last updated
02/25/2021
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