Organization
GEISINGER WYOMING VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR CREDENTIALING)
(570) 271-6603
Entity
Organization
Contact information
Practice address
3 W OLIVE ST, SCRANTON, PA 18508-2572
(570) 558-2140
(570) 558-2141
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390270
MEDICARE
PA
Enumeration date
04/03/2024
Last updated
06/12/2025
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