NPIMap

Organization Active NPI

Geisinger Medical Center

  • Psychiatric Hospital Unit
  • Danville, PA
National Provider Identifier
1144301102
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
GEISINGER MEDICAL CENTER
Practice address
100 N Academy Ave
Danville, PA 17822
Phone
(570) 574-6224
NPI assigned
Oct 18, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GEISINGER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Cindy L Mull
Title
System Director
Phone
(570) 271-6603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822

Mailing address

5 Lakeview Dr
Moosic, PA 18705
Phone (570) 271-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030915000012 PA Part A Provider - Hospital 5991616187 25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewisburg, PA; Sunbury, PA; Selinsgrove, PA; Selingsgrove, PA; Pottsville, PA; Muncy, PA; Hazelton, PA; Elysburg, PA…
O20171219002750 PA Part A Provider - Hospital 5991616187 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coal Township, PA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1144301102. Details of each certification follow.

Hospital certification: CCN 390006

Legal name
GEISINGER MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 16, 2023
Beds
553 (393 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2025 (4 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1932 in PA
Enrollment address
100 N Academy Ave
GMC Op Surgery
Danville, PA 17822-0150
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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 on the same Medicare enrollment 26

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

View all 26

Care Compare: Hospital

Medicare Care Compare
Listed as
Geisinger Medical CenterCCN 390006 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Geisinger Med Ctr

Locations

5959 Truxtun Ave
Ste 200
Bakersfield, CA 93309
Phone (661) 324-1203

11370 Anderson St
#3650
Loma Linda, CA 92354

2315 Stockton Blvd
Rm 1707
Sacramento, CA 95817

44 Woodbine Ln
Danville, PA 17821
Phone (570) 214-6763

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Terry Gilliland Individual Corporate DirectorChief Executive Officer May 1, 2025
Corporate Officer Mar 1, 2025
Corporate Director Mar 1, 2025
Cindy Mull Individual W-2 Managing EmployeeSystem Director Credentialing & Enr Sep 13, 1984
W-2 Managing EmployeeSystem Enrollment Director Sep 13, 1984
Jeffrey a Jacobson Individual Corporate Director Apr 1, 2019
Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2024
Chris Holcombe Individual Corporate Director Jan 1, 2018
Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2024
Benjamin K Chu Individual Corporate Director Mar 1, 2020
Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2024
Geisinger Health System Organization, Danville, PA 5% Or Greater Direct Ownership Interest Apr 28, 2008
Gerald V Maloney Individual Corporate Director Apr 1, 2019
Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2024
Virginia McGregor Individual Corporate Director Jan 1, 2018
Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2024
Megan Brosious Individual Corporate DirectorEvp, Chief Operating Officer May 1, 2025
Corporate Officer Mar 1, 2025
Corporate Director Mar 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

Affiliated clinicians 1,996

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,996

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1144301102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAKEVIEW DR",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "18705",
            "telephone_number": "570-271-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17822",
            "telephone_number": "570-574-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEISINGER MEDICAL CENTER",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "570-271-6603"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.