Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5490
Entity
Organization
Contact information
Practice address
529 TERRY REILEY WAY, POTTSVILLE, PA 17901
(570) 624-4444
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342230
HIGHMARK BS #
PA
Enumeration date
08/19/2006
Last updated
06/30/2008
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