Healthcare Provider Details

I. General information

NPI: 1801831326
Provider Name (Legal Business Name): GEISINGER MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE M.C.15-42
DANVILLE PA
17822-1542
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-2575
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6451
  • Fax: 570-271-7065
Mailing address:
  • Phone: 570-271-7965
  • Fax: 570-271-7370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHP418073L
License Number StatePA

VIII. Authorized Official

Name: CINDY L MULL
Title or Position: SYSTEM DIRECTOR CREDENTIALING
Credential:
Phone: 570-271-6603