Provider Demographics
NPI:1467866863
Name:GEISINGER COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:GEISINGER COMMUNITY HEALTH SERVICES
Other - Org Name:COLUMBIA MONTOUR HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COMSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:570-784-1723
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:MC 61-21
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-784-1723
Mailing Address - Fax:570-784-8512
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:MC 61-21
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-784-1723
Practice Address - Fax:570-784-8512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based