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Organization

GEISINGER COMMUNITY HEALTH SERVICES

Active
Other names
VITALine Infusion Pharmacy Services East
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEAN Q LIN (VICE PRESIDENT)
(570) 271-8120
Entity
Organization

Contact information

Practice address
1546 HIGHWAY 315, WILKES BARRE, PA 18702-7005
(570) 826-7811
(570) 825-1018
Mailing address
100 N ACADEMY AVE, MC 35-58, DANVILLE, PA 17822-9800
(570) 826-7811
(570) 825-1018

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
PP415000L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09HI10
CAPITAL BLUE CROSS PROVID
PA
05
1000038000025
PA
01
132447
UNISON HEALTH PLAN
PA
01
1507155
GATEWAY PROVIDER #
PA
01
181925
BC NEPA ACCESS CARE PROV#
PA
01
243353
HIGHMARK BS PROVIDER #
PA
01
362013
AETNA PROVIDER NUMBER
PA
01
39JI10
KEYSTONE HEALTH CENTRAL
PA
01
95862
HEALTH AMERICA PROVIDER #
PA
01
996012
BCNEPA PROVIDER NUMBER
PA
01
GE205242
GEISINGER HEALTH PLAN HMO
PA
Enumeration date
06/12/2006
Last updated
08/22/2020
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