Geisinger Community Health Services

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

153399 Issued in PA

Legal business name

GEISINGER COMMUNITY HEALTH SERVICES

Practice address

410 Glenn Ave
Suite 200
Bloomsburg, PA 17815-1200

Phone

(570) 784-1723

Fax

(570) 784-8512

NPI assigned

Jun 27, 2005

Organization subpart

No

Name

Mrs. Denise Prince

Title

Chief Executive Officer

Phone

(570) 214-9492

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG CXL, LLC

  • Community Based Hospice Care Agency
  • Danville, PA
  • NPI 1972060226

  Sold to, 2019-04-01

  CMS change of ownership

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

• Alexander M. Villareal, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • La Crosse, WI
  • NPI 1609094457
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

• Columbia Montour Hosipce Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2015.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1477559276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GLENN AVE",
            "address_2": "SUITE 200",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151200",
            "telephone_number": "570-784-1723",
            "fax_number": "570-784-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GLENN AVE",
            "address_2": "SUITE 200",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151200",
            "telephone_number": "570-784-1723",
            "fax_number": "570-784-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "570-214-9492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "153399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007466820008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HOSPICE",
            "identifier": "1464",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSPICE",
            "identifier": "391902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Montour Hosipce",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geisinger Clinic
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Community Health Services
• Geisinger Medical Center
• Geisinger Orthopaedics Central Road, a Service of GMC
• Geisinger Pharmacy, LLC
• Laura Nicole Geiszler

• All providers in Bloomsburg, PA
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.