Healthcare Provider Details
I. General information
NPI: 1548471576
Provider Name (Legal Business Name): GEISINGERCOMMUNITY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3911 WILLIAM PENN HWY
EASTON PA
18045
US
IV. Provider business mailing address
100 N ACADEMY AVE
DANVILLE PA
17822-3034
US
V. Phone/Fax
- Phone: 484-373-3124
- Fax:
- Phone: 570-271-5555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
GREG
SNOW
Title or Position: VP
Credential:
Phone: 570-271-5555