Organization Name: | GEISINGER CLINIC |
NPI Number: | 1902858301 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH HOLDREN (CAO) |
Mailing Address: | Rte 11 Lackawanna Trail Nicholson |
State: | PA US |
Postal Code: | 184463822 |
Phone Number: | 5709426124 |
Fax Number: | 5709426193 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/17/2007 |
NPI Reactivation Date: | 08/14/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |