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NPI Code Detail

MEDICARE: GEISINGER BLOOMSBURG HEALTH CARE CENTER

MEDICARE: GEISINGER BLOOMSBURG HEALTH CARE 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
1314000000XSkilled Nursing Facility130602PA

General Provider Information

NPI Number : 1962404251
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEISINGER BLOOMSBURG HEALTH CARE CENTER
Provider Business Mailing Address
First Line : 211 E 1ST ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1405
Country : US
Telephone Number : 570-784-5930
Fax Number : 570-387-6606
Provider Business Practice Location Address
First Line : 211 E 1ST ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1405
Country : US
Telephone Number : 570-784-5930
Fax Number : 570-387-6606
Authorized Official
Title or Position : ASSOCIATE VP
Name : MR. ROBERT MCQUILLAN
Credential :
Telephone Number : 570-214-9790
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/25/2016

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Directions to “GEISINGER BLOOMSBURG HEALTH CARE CENTER ” Practice Location

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