Organization Active NPI

Geisinger Bloomsburg Health Care Center

  • Skilled Nursing Facility
  • Bloomsburg, PA
National Provider Identifier
1962404251
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
130602 Issued in PA
Legal business name
GEISINGER BLOOMSBURG HEALTH CARE CENTER
Practice address
211 E 1St St
Bloomsburg, PA 17815-1405
Phone
(570) 784-5930
Fax
(570) 387-6606
NPI assigned
Jun 1, 2005
Last updated
Sep 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Authorized official

Name
Mr. Robert McQuillan
Title
Associate VP
Phone
(570) 214-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 130602 PA Primary

Addresses

Primary practice location

211 E 1St St
Bloomsburg, PA 17815-1405

Mailing address

211 E 1St St
Bloomsburg, PA 17815-1405
Phone (570) 784-5930

National Provider Directory

National Provider Directory

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": "1474761600000",
    "number": "1962404251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 1ST ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151405",
            "telephone_number": "570-784-5930",
            "fax_number": "570-387-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 1ST ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151405",
            "telephone_number": "570-784-5930",
            "fax_number": "570-387-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER BLOOMSBURG HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-09-25",
        "status": "A",
        "authorized_official_last_name": "MCQUILLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ASSOCIATE VP",
        "authorized_official_telephone_number": "570-214-9790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "130602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.