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NPI Code Detail

MEDICARE: GEISINGER CLINIC

MEDICARE: GEISINGER CLINIC
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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1548599913
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEISINGER CLINIC
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 814-643-6563
Fax Number :
Provider Business Practice Location Address
First Line : 3228 COLD SPRINGS RD
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-2721
Country : US
Telephone Number : 570-271-5555
Fax Number :
Authorized Official
Title or Position : SYSTEM DIRECTOR ENROLLMENTS
Name : CINDY L MULL
Credential :
Telephone Number : 570-271-6603
Provider Enumeration Date : 12/15/2009
Last Update Date : 04/20/2020

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Directions to “GEISINGER CLINIC ” Practice Location

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