Organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR)
(570) 271-6144
Entity
Organization
Contact information
Practice address
1175 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-1093
(570) 808-7878
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390270
MEDICARE
—
01
—
7593410001
MEDICARE DME NUMBER
PA
Enumeration date
05/31/2012
Last updated
07/02/2019
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