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Geisinger Clinic

Organization Active NPI Family Medicine Physician · Danville, PA

NPI 1265867113 · NPPES record last updated Mar 31, 2020

Key facts

NPI
1265867113
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
GEISINGER CLINIC
Practice address
604 Continental Blvd
Danville, PA 17821-1022
Phone
(570) 284-4575
Fax
(570) 284-4577
NPI assigned
Sep 11, 2013
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 59

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040130000518 PA Part B Supplier - Clinic/Group Practice 5395657001 Receives reassigned benefits from 5,323 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Geisinger Clinic Sunbury (275 organizations share this tax ID)

Locations

2 Rehab Ln
#150723
Danville, PA 17821
Phone (570) 271-6110

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

604 Continental Blvd
Danville, PA 17821-1022

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-5555

Other providers in Danville, PA

All providers in Danville, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.