Organization
GEISINGER COMMUNITY HEALTH SERVICES
Active
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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