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Geisinger Medical Center

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Danville, PA

NPI 1962583922 · NPPES record last updated Apr 20, 2020

Key facts

NPI
1962583922
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
GEISINGER MEDICAL CENTER
Practice address
100 N Academy Ave
Danville, PA 17822
Phone
(570) 574-6224
NPI assigned
Oct 18, 2006
Organization subpart
Yes
Parent organization (as reported)
GEISINGER MEDICAL CENTER

Authorized official

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 25

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Geisinger Encompass Health Rehabilitation Hospital
Danville, PA · CCN 393047		 Hospital 5% Or Greater Direct Ownership Interest (50%) Sep 23, 1997

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050418000215 PA Part a Provider - End-Stage Renal Disease Facility (ESRD) 5991616187 Practice locations: Danville, PA

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822

Mailing address

5 Lakeview Dr
Moosic, PA 18705
Phone (570) 271-6211

Other providers in Danville, PA

All providers in Danville, PA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.