Geisinger Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

GEISINGER MEDICAL CENTER

Practice address

4200 Hospital Rd
Coal Township, PA 17866-9668

Phone

(570) 644-4200

Fax

(570) 644-4351

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Sokola

Title

Cao

Phone

(570) 271-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063796522. Details of each certification follow.

• CCN 39S006A Hospital · Details

Hospital certification: CCN 39S006A

Legal name

GEISINGER MEDICAL CENTER

Organization structure

CorporationNon-profit

Incorporated

Dec 19, 1932 in PA

Enrollment address

4200 Hospital Rd
Shamokin Area Community
Coal Township, PA 17866-9668
Other Hospital Practice Location

Hospital subgroups

Psychiatric unit

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Geisinger Medical Center

  • General Acute Care Hospital
  • Muncy, PA
  • NPI 1457181422

  5991616187

  Same PAC ID
• Geisinger Medical Center

  • General Acute Care Hospital
  • Danville, PA
  • NPI 1528197720

  5991616187

  Same PAC ID
• Geisinger Medical Center

  dba Geisinger Pharmacy

  • Institutional Pharmacy
  • Danville, PA
  • NPI 1801831326

  5991616187

  Same PAC ID
• Geisinger Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Danville, PA
  • NPI 1962583922

  5991616187

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Geisinger Medical Center

  • Psychiatric Hospital Unit
  • Danville, PA
  • NPI 1144301102

  O20171219002750

  Same enrollment

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Gerald Vincent Maloney, DO

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1275680647

  Corporate Director, Corporate Officer

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Geisinger Encompass Health Limited Liability Company

  dba Geisinger Encompass Health Rehabilitation Hospital

  • Rehabilitation Hospital
  • Danville, PA
  • NPI 1811961758

  5% Or Greater Direct Ownership Interest

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1063796522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOSPITAL RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-644-4200",
            "fax_number": "570-644-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "SOKOLA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "570-271-5555"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geisinger Clinic
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Community Health Services (Respiratory Resources Sleep Labs)
• Geisinger Medical Center
• Geisinger Medical Center
• Geisinger Medical Center
• Geisinger Medical Center
• General Healthcare Resources
• Marybeth Goretsky, PAC

• Psychiatric Hospital Unit in Coal Township, PA
• Providers in Coal Township, PA by specialty
• Psychiatric Hospital Unit in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.