Provider Demographics
NPI:1164462404
Name:GEISINGER COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:GEISINGER COMMUNITY HEALTH SERVICES
Other - Org Name:GEISINGER HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-271-8120
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:M.C. 24-11
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-271-5598
Mailing Address - Fax:570-271-5597
Practice Address - Street 1:109 WOODBINE LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-9118
Practice Address - Country:US
Practice Address - Phone:570-271-5598
Practice Address - Fax:570-271-5597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA771805251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA397718OtherBCNEPA PROVIDER #
PA397718OtherCAPTIAL BLUE CROSS PROVID
PA5417705OtherAETNA PROVIDER #
PA136242OtherHEALTH AMERICA PROVIDER #
PA1508343OtherGATEWAY HEALTH PLAN PROVI
PA397718OtherBLACK LUNG PROVIDER #
PA397718OtherHEALTHY BEGINNING PLUS PR
PA43018OtherGEISINGER HEALTH PLAN HMO
PA397718OtherAUTO PROVIDER #
PA1000038000013Medicaid
PA1820OtherHIGHMARK BS PROVIDER #
PA397718OtherKEYSTONE HEALTH PLAN CENT
PA111008OtherUNISON HEALTH PLAN PROVID
PA397718Medicare ID - Type Unspecified