Organization
GEISINGER JERSEY SHORE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
(570) 271-6603
Entity
Organization
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-0100
(570) 398-4412
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
101401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009912
FIRST PRIORITY
PA
01
—
10011
GEISINGER
PA
01
—
391300
WORKERS COMPENSATION
PA
01
—
39Z300
RAILROAD MEDICARE
PA
01
—
5511
HEALTH AMERICA
PA
Enumeration date
06/14/2006
Last updated
10/03/2019
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