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Organization

GEISINGER WYOMING VALLEY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY MULL (DIRECTOR)
(570) 271-6603
Entity
Organization

Contact information

Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3251
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-5555

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
282N00000X
General Acute Care Hospital
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
390270
MEDICARE
Enumeration date
03/18/2011
Last updated
07/02/2019
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