MEDICARE: GEISINGER COMMUNITY HEALTH SERVICES

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	364SF0001X	Family Health Clinical Nurse Specialist		PA

General Provider Information

NPI Number	:	1215197629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEISINGER COMMUNITY HEALTH SERVICES

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-9800
Country	:	US
Telephone Number	:	570-271-6600
Fax Number	:	570-271-5537

Provider Business Practice Location Address
First Line	:	1020 NORTHERN BLVD
Second Line	:
City	:	SOUTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18411-2220
Country	:	US
Telephone Number	:	570-587-2290
Fax Number	:	570-587-1874

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. DEAN Q LIN
Credential	:
Telephone Number	:	570-271-8120

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	07/21/2022

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