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
675 BALTIMORE DR, WILKES BARRE, PA 18702-7900
(570) 271-5555
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
148901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390270
MEDICARE
—
Enumeration date
06/28/2011
Last updated
08/05/2021
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