MEDICARE: GGNSC SUNBURY LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	130502	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30966	OTHER	PA	GEISINGER HEALTH PLAN
2	000000131601	OTHER	PA	THREE RIVERS HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1509803	OTHER	PA	GATEWAY HEALTH PLAN
6	395482	OTHER	PA	CAPITAL BLUE CROSS
7	84253	OTHER	PA	HEALTH AMERICA

General Provider Information

NPI Number	:	1194776427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GGNSC SUNBURY LP

Provider Business Mailing Address
First Line	:	1040 MARKET ST
Second Line	:
City	:	SUNBURY
State	:	PA
Zip	:	17801-2403
Country	:	US
Telephone Number	:	570-286-6922
Fax Number	:	570-286-6817

Provider Business Practice Location Address
First Line	:	1040 MARKET ST
Second Line	:
City	:	SUNBURY
State	:	PA
Zip	:	17801-2403
Country	:	US
Telephone Number	:	570-286-6922
Fax Number	:	570-286-6817

Authorized Official
Title or Position	:	SEC. OF THE GP
Name	:	HOLLY A. RASMUSSEN-JONES
Credential	:
Telephone Number	:	479-201-4835

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/16/2014

Similar Medicare Providers

1881680817 — DR. JOHN PATRICK PAGANA M.D.
Practice Location Address:

1072 MARKET ST
SUNBURY, PA
17801-2403

Practice Phone: 570-286-8521
Practice Fax: 570-286-6197

1922083518 — PAGANA & PAGANA-DEFAZIO FAMILY PRACTICE LLC
Practice Location Address:

1072 MARKET ST
SUNBURY, PA
17801-2403

Practice Phone: 570-286-8521
Practice Fax: 570-286-6197

1952435380 — MR. ALEXANDER CRISTOBAL P.T.
Practice Location Address:

1040 MARKET ST
SUNBURY, PA
17801-2403

Practice Phone: 570-286-6922
Practice Fax: 570-286-8175

1215470554 — THE MEADOWS AT SUNBURY FOR NURSING AND REHABILITATION LLC
Practice Location Address:

1040 MARKET ST
SUNBURY, PA
17801-2403

Practice Phone: 570-286-6922
Practice Fax:

1780428078 — EMBASSY OF SUNBURY LLC
Practice Location Address:

1040 MARKET ST # 52
SUNBURY, PA
17801-2403

Practice Phone: 216-378-2050
Practice Fax:

1326049388 — PA INSTITUTE OF NEUROLOGICAL DISORDER PC
Practice Location Address:

512 MARKET ST
SUNBURY, PA
17801-2338

Practice Phone: 570-286-9878
Practice Fax: 570-286-9848

Directions to “GGNSC SUNBURY LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.