Organization
GEISINGER CLINIC
Active
Organization
GEISINGER CLINIC
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
1100 SPRUCE ST, STE 100, KULPMONT, PA 17834
(570) 373-2100
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
291U00000X
Clinical Medical Laboratory
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/03/2008
Last updated
03/31/2020
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