Organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR OF REVENUE MANAGEMENT)
(570) 271-6603
Entity
Organization
Contact information
Practice address
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-6444
(570) 808-5031
Mailing address
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
148901
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390270
MEDICARE
—
01
—
DME
7593410001
PA
Enumeration date
09/17/2014
Last updated
07/02/2019
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