NPIMap

Geisinger Medical Center

Organization Active NPI Clinic/Center · Hazleton, PA

NPI 1427344969 · NPPES record last updated Oct 5, 2020

Key facts

NPI
1427344969
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
GEISINGER MEDICAL CENTER
Practice address
1740 E Broad St
Hazleton, PA 18201-5667
Phone
(570) 271-5555
NPI assigned
Jun 23, 2011
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Other NPIs on the same Medicare enrollment 25

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

Corporate family (same tax ID) 25

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

Affiliated clinicians 1,996

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

View all 1,996

Medicare Care Compare: Hospital

Listed as
Geisinger Medical Center CCN 390006
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0191388Geisinger Medical Center Cancer Center Hazleton
1740 East Broad Street MC 38-46, Hazleton, PA 18201		ComplianceAug 22, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

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
Corporation · Non-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

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

Medicare enrollment records

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…

National Provider Directory

Tax ID family
Geisinger Med Ctr Lab (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

1740 E Broad St
Hazleton, PA 18201-5667

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6211

Other providers in Hazleton, PA

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

Sources for this page

Verify at the official NPI Registry.