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
200 SCENERY DR, STATE COLLEGE, PA 16801
(814) 231-4560
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
591699
HIGHMARK BS
PA
Enumeration date
10/11/2006
Last updated
03/31/2020
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