Geisinger Wyoming Valley Medical Center
Clinic/Center in Wilkes Barre, PA. Organization (NPI-2).
NPI number1205197894
StatusActive
Last updated in NPPESJul 2, 2019
Details
- NPI
- 1205197894
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Wyoming Valley Medical Center
- Organization subpart
- No
- Enumeration date
- May 31, 2012
- Last updated
- Jul 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
1175 East Mountain BlvdWilkes Barre, PA 18702-7906
Phone 570-808-1093 · Fax 570-808-7878
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6211
Authorized official
Cindy Mull
Director
5702716144
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