MEDICARE: GEISINGER MEDICAL CENTER

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	261QA1903X	Ambulatory Surgical Clinic/Center
2	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1528197720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEISINGER MEDICAL CENTER

Provider Business Mailing Address
First Line	:	5 LAKEVIEW DR
Second Line	:
City	:	MOOSIC
State	:	PA
Zip	:	18705
Country	:	US
Telephone Number	:	570-241-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 NORTH ACADEMY AVENUE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4322
Country	:	US
Telephone Number	:	570-574-6224
Fax Number	:

Authorized Official
Title or Position	:	SYSTEM DIRECTOR
Name	:	CINDY L MULL
Credential	:
Telephone Number	:	570-271-6603

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	02/26/2020

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Directions to “GEISINGER MEDICAL CENTER ” Practice Location

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