Organization
GEISINGER COMMUNITY HEALTH SERVICES
Active
Other names
Respiratory Resources Sleep Labs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN Q LIN (VICE PRESIDENT)
(570) 271-8120
Entity
Organization
Contact information
Practice address
4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
(570) 644-0400
(570) 271-7064
Mailing address
100 N ACADEMY AVE, MC 24-12, DANVILLE, PA 17822-9800
(570) 271-7089
(570) 271-7064
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15218170
GATEWAY HEALTH PLAN PROVI
PA
01
—
3363171
AETNA PROVIDER #
PA
01
—
55067
GEISINGER HEALTH PLAN HMO
PA
01
—
707494
KEYSTONE HEALTH PLAN CENT
PA
01
—
707494
PENNSYLVANIA BLUE SHIELD
PW
01
—
95862
HEALTH AMERICA PROVIDER #
PA
Enumeration date
05/26/2006
Last updated
08/22/2020
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