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Geisinger Wyoming Valley Medical Center

Organization Active NPI General Acute Care Hospital · Wilkes Barre, PA

NPI 1881980803 · NPPES record last updated Aug 5, 2021

Key facts

NPI
1881980803
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
148901 (PA)
Legal business name
GEISINGER WYOMING VALLEY MEDICAL CENTER
Practice address
675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Phone
(570) 271-5555
NPI assigned
Jun 28, 2011
Organization subpart
No

Authorized official

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

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 19

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

Corporate family (same tax ID) 22

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

Affiliated clinicians 1,567

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

View all 1,567

Medicare Care Compare: Hospital

Listed as
Geisinger Wyoming Valley Medical Center CCN 390270
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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Hospital certification: CCN 390270

Legal name
GEISINGER WYOMING VALLEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 20, 1981
Last certification
Sep 4, 2025
Beds
356 (317 certified)
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Feb 2, 1976 in PA
Enrollment address
1000 East Mountain Drive
GWV Op Surgery
Wilkes Barre, PA 18711-0027
Other Hospital Practice 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 Officer Mar 1, 2025
Daniel J Gaydon
Individual 		Corporate Officer
Associate Vice President, Finance		 Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
William Schultz
Individual 		Corporate Officer
Vice President & Cfo		 Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
Jeffrey a Jacobson
Individual 		Corporate Officer Jan 1, 2019
Chris Holcombe
Individual 		Corporate Officer Jan 1, 2017
Benjamin K Chu
Individual 		Corporate Director Jan 1, 2020
Virginia McGregor
Individual 		Corporate Officer Jan 1, 2017
Jason Mitchell
Individual 		Corporate Officer Jan 1, 2026
Megan Brosious
Individual 		Corporate Officer Mar 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040901000618 PA Part a Provider - Hospital 5092780023 21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilkes Barre, PA; Wilkes-Barre, PA; Wilkes -Barre, PA; Dallas, PA; Dickson City, PA; Forty Fort, PA; Mountain Top, PA; Mountaintop, PA…

National Provider Directory

Tax ID family
Rad NPW Fund (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
General Acute Care Hospital 282N00000X 148901 PA Yes

Addresses

Primary practice location

675 Baltimore Dr
Wilkes Barre, PA 18702-7900

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
390270OtherMEDICARE

Other providers in Wilkes Barre, PA

All providers in Wilkes Barre, PA · General Acute Care Hospital in Pennsylvania

Sources for this page

Verify at the official NPI Registry.