NPIMap

Organization Active NPI

Geisinger Lewistown Hospital

  • Ambulatory Surgical Clinic/Center
  • Port Matilda, PA
National Provider Identifier
1801531322
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GEISINGER LEWISTOWN HOSPITAL
Practice address
132 Abigail LN
Port Matilda, PA 16870-7153
Phone
(814) 272-5011
Fax
(814) 272-6531
NPI assigned
Apr 29, 2022
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Cindy L Mull
Title
System Director Credentialing
Phone
(570) 271-6144

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

132 Abigail LN
Port Matilda, PA 16870-7153

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080223000028 PA Part A Provider - Hospital 4981698487 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewistown, PA; State College, PA; Port Matilda, PA; Mifflintown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801531322. Details of each certification follow.

Hospital certification: CCN 390048

Legal name
GEISINGER LEWISTOWN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 26, 2018
Beds
123 (113 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 22, 1905 in PA
Enrollment address
400 Highland Avenue
Lewistown, PA 17044-1198
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Geisinger-Lewistown HospitalCCN 390048 · All quality measures
Overall star rating
5 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
Lewistown Hosp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 7

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
Jeffrey a Jacobson Individual Corporate Director Jan 1, 2019
Chris Holcombe Individual Corporate Director Jan 1, 2018
Geisinger Lewistown Hospital Organization, Lewistown, PA Operational/Managerial Control Nov 14, 2007
Benjamin K Chu Individual Corporate Director Jan 1, 2020
Virginia McGregor Individual Corporate Director Jan 1, 2016
Kristy Hine Individual Corporate OfficerAssociate Vice President, Finance Jan 1, 2026
W-2 Managing Employee Jan 1, 2026

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 672

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

View all 672

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1801531322",
    "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": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ABIGAIL LN",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707153",
            "telephone_number": "814-272-5011",
            "fax_number": "814-272-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER LEWISTOWN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR CREDENTIALING",
        "authorized_official_telephone_number": "570-271-6144"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

Verify at the official NPI Registry.