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Geisinger Clinic

Organization Active NPI Clinic/Center · Moosic, PA

NPI 1346073640 · NPPES record last updated Aug 22, 2024

Key facts

NPI
1346073640
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
GEISINGER CLINIC
Practice address
5 Lakeview Dr
Moosic, PA 18507-2108
Phone
(570) 558-2180
Fax
(570) 558-2183
NPI assigned
Aug 22, 2024
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

Practitioners 23

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

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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

5 Lakeview Dr
Moosic, PA 18507-2108

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other providers in Moosic, PA

All providers in Moosic, PA · Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.