Geisinger Wyoming Valley
Clinic/Center in Wilkes Barre, PA. Organization (NPI-2).
NPI number1922860360
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1922860360
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Wyoming Valley
- Organization subpart
- No
- Enumeration date
- Jan 30, 2024
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | |
| 282N00000X | General Acute Care Hospital | – | – |
Other names
- Geisinger Mob (Doing Business As)
Practice location
950 E Mountain BlvdWilkes Barre, PA 18711-0028
Phone 570-271-6144
Mailing address
100 N Academy AveDanville, PA 17822-9800
Phone 570-214-2798
Authorized official
Cindy L Mull
Directior
5702716603
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