NPIMap

Organization Active NPI

Community Medical Center

Doing business as Geisinger Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
National Provider Identifier
1366444507
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
037101 Issued in PA
Legal business name
COMMUNITY MEDICAL CENTER
Doing business as
Geisinger Community Medical Center
Practice address
1800 Mulberry St
Scranton, PA 18510-2369
Phone
(570) 969-8900
Fax
(570) 969-8814
NPI assigned
Jun 1, 2005
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 037101 PA Primary

Addresses

Primary practice location

1800 Mulberry St
Scranton, PA 18510-2369

Mailing address

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-8900

Other identifiers 5

IdentifierTypeStateIssuer
074005OtherPAFIRST PRIORITY HEALTH
107456760020MedicaidPA
1007456760024MedicaidPA
1007456760005MedicaidPA
1007456760006MedicaidPA

Other names 1

  • Geisinger Community Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080114000318 PA Part A Provider - Hospital 9335104371 14 other NPIs on this enrollment
Practice locations: Scranton, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366444507. Details of each certification follow.

Hospital certification: CCN 390001

Legal name
COMMUNITY MEDICAL CENTER
Doing business as
GEISINGER COMMUNITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 15, 2025
Beds
294 (275 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 20, 1962 in PA
Enrollment address
1800 Mulberry St
Scranton, PA 18510-2369
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 9

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Geisinger-Community Medical CenterCCN 390001 · All quality measures
Overall star rating
2 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
Tax ID family
Trauma Surgeons CMC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 11

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 Officer May 6, 2024
Community Medial Center Healthcare System Organization, Scranton, PA 5% Or Greater Direct Ownership Interest Jan 31, 1983
Daniel J Gaydon Individual Corporate OfficerAssociate Vice President, Finance Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
William Schultz Individual Corporate OfficerVice President & Cfo Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
Allan Vandermark Individual W-2 Managing EmployeeAvp, Revenue Management Jun 17, 2026
Jeffrey a Jacobson Individual Corporate Director Apr 1, 2019
Chris Holcombe Individual Corporate Officer Jan 31, 2017
Will Xenakis Individual W-2 Managing EmployeeSenior Director Credentialing Jun 17, 2026
Benjamin K Chu Individual Corporate Director Aug 1, 2023
Virginia McGregor Individual Corporate Director Dec 29, 2006
Megan Brosious Individual Corporate Officer Mar 1, 2025

Practitioners & affiliated clinicians

Practitioners 91

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 91

Affiliated clinicians 1,231

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

View all 1,231

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1366444507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-969-8900",
            "fax_number": "570-969-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-969-8900",
            "fax_number": "570-969-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING/ENROLLMENT",
        "authorized_official_telephone_number": "570-271-6603"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "037101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "074005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107456760020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007456760024",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007456760005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007456760006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Community Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.