Geisinger Clinic
Family Medicine in Mahanoy City, PA. Organization (NPI-2).
NPI number1104952829
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1104952829
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Clinic
- Organization subpart
- No
- Enumeration date
- Feb 26, 2007
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207ZP0101X | Pathology, Anatomic Pathology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | PA | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
31 S Main StMahanoy City, PA 17948-2647
Phone 570-773-3042
Mailing address
100 N Academy AveDanville, PA 17822-3034
Phone 570-271-5555
Authorized official
Cindy L Mull
System Director Enrollment
5702716603
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