Organization
GEISINGER COMMUNITY HEALTH SERVICES
Active
Other names
Columbia Montour Hosipce
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE PRINCE (CHIEF EXECUTIVE OFFICER)
(570) 214-9492
Entity
Organization
Contact information
Practice address
410 GLENN AVE, SUITE 200, BLOOMSBURG, PA 17815-1200
(570) 784-1723
(570) 784-8512
Mailing address
410 GLENN AVE, SUITE 200, BLOOMSBURG, PA 17815-1200
(570) 784-1723
(570) 784-8512
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
153399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007466820008
—
PA
01
—
1464
BLUE SHIELD HOSPICE
PA
01
—
391902
BLUE CROSS HOSPICE
PA
Enumeration date
06/27/2005
Last updated
05/18/2015
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