Organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR)
(570) 271-6144
Entity
Organization
Contact information
Practice address
114 LT MICHAEL CLEARY DR, DALLAS, PA 18612-1649
(570) 675-2000
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390270
MEDICARE
PA
Enumeration date
07/14/2011
Last updated
09/12/2023
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