Organization Active NPI

Geisinger Community Health Services

Doing business as Geisinger Hospice

  • Community Based Hospice Care Agency
  • Danville, PA
National Provider Identifier
1346280609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16401601 Issued in PA
Legal business name
GEISINGER COMMUNITY HEALTH SERVICES
Doing business as
Geisinger Hospice
Practice address
109 Woodbine LN
Danville, PA 17821-9118
Phone
(570) 271-5336
Fax
(570) 271-5597
NPI assigned
Jun 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dean Q Lin
Title
Vice President
Phone
(570) 271-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 16401601 PA Primary

Addresses

Primary practice location

109 Woodbine LN
Danville, PA 17821-9118

Mailing address

100 N Academy Ave
Danville, PA 17822-2411
Phone (570) 271-5336

Other identifiers 10

IdentifierTypeStateIssuer
136363OtherPAUNISON PROV #
391640OtherPACAPITAL BLUE CROSS PROV #
1821OtherPAPA BLUE SHIELD PROV #
391640OtherPABLACK LUNG PROV #
86902OtherPAGEISINGER HEALTH PLAN #
1508343OtherPAGATEWAY HEALTH PLAN PROV#
214114OtherPAHEALTH AMERICA PROV #
5417705OtherPAAETNA PROVIDER #
1000038000021MedicaidPA
391640OtherPABCNEPA PROV #

Other names 1

  • Geisinger Hospice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346280609",
    "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": "178222411",
            "telephone_number": "570-271-5336",
            "fax_number": "570-271-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219118",
            "telephone_number": "570-271-5336",
            "fax_number": "570-271-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-271-8061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "16401601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON PROV #",
            "identifier": "136363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS PROV #",
            "identifier": "391640",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD PROV #",
            "identifier": "1821",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROV #",
            "identifier": "391640",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN #",
            "identifier": "86902",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN PROV#",
            "identifier": "1508343",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA PROV #",
            "identifier": "214114",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5417705",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038000021",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNEPA PROV #",
            "identifier": "391640",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.