Healthcare Provider Details

I. General information

NPI: 1952357246
Provider Name (Legal Business Name): GEISINGER COMMUNITY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 HOSPITAL RD
COAL TOWNSHIP PA
17866-9668
US

IV. Provider business mailing address

100 N ACADEMY AVE MC 24-12
DANVILLE PA
17822-9800
US

V. Phone/Fax

Practice location:
  • Phone: 570-644-0400
  • Fax: 570-271-7064
Mailing address:
  • Phone: 570-271-7089
  • Fax: 570-271-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DEAN Q LIN
Title or Position: VICE PRESIDENT
Credential:
Phone: 570-271-8120