Organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
Active
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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