Healthcare Provider Details
I. General information
NPI: 1467748475
Provider Name (Legal Business Name): GEISINGER MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2011
Last Update Date: 07/30/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 WOODBINE LANE
DANVILLE PA
17821-8029
US
IV. Provider business mailing address
100 N ACADEMY AVE
DANVILLE PA
17822-4903
US
V. Phone/Fax
- Phone: 570-271-7089
- Fax: 570-271-7064
- Phone: 570-271-6211
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 071801 |
| License Number State | PA |
VIII. Authorized Official
Name:
CINDY
MULL
Title or Position: DIRECTOR
Credential:
Phone: 570-271-6144