1083856090 NPI number — GEISINGER COMMUNITY HEALTH SERVICES

Table of content: (NPI 1083856090)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083856090 NPI number — GEISINGER COMMUNITY HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GEISINGER COMMUNITY HEALTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083856090
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 WOODBINE LN
Provider Second Line Business Mailing Address:
SUITE 2
Provider Business Mailing Address City Name:
DANVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17821-9118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-507-4957
Provider Business Mailing Address Fax Number:
866-810-6910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 COMMERCE CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT POCONO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18344-1362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-507-4957
Provider Business Practice Location Address Fax Number:
866-810-6910
Provider Enumeration Date:
04/06/2009

Additional Information

Authorized Official

Authorized Official Last Name:
TRIMBLE
Authorized Official First Name:
LISA
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
AVP - GCHS
Authorized Official Telephone Number:
570-271-8120

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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