GEISINGER WYOMING VALLEY MEDICAL CENTER


Address: 1175 East Mountain Blvd, Wilkes Barre, PA 18702-7906
Phone: 5708081093

GEISINGER WYOMING VALLEY MEDICAL CENTER (NPI# 1205197894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205197894
Entity Type Organization
Organization Name GEISINGER WYOMING VALLEY MEDICAL CENTER
Practice Address 1175 East Mountain Blvd
Wilkes Barre
PA 18702-7906
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 5708081093
Practice Fax Number 5708087878
Mailing Telephone 5702716211
Enumeration Date 2012-05-31
Last Update Date 2019-07-02
Authorized Official Name CINDY MULL (DIRECTOR)
Authorized Official Telephone 5702716144
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE 390270 01
PA MEDICARE DME NUMBER 7593410001 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770953994 Geisinger Wyoming Valley Medical Center General Acute Care Hospital 35 South Mountain Blvd, Mountain Top, PA 18707 2015-09-30
1104292960 Geisinger Wyoming Valley Medical Center Radiology 42 North Main St, Pittston, PA 18640 2015-08-17
1447538640 Geisinger Wyoming Valley Medical Center Clinic/Center 620 Baltimore Dr, Wilkes Barre, PA 18702-7959 2011-07-22
1093001653 Geisinger Wyoming Valley Medical Center Clinic/Center 270 S River St, Plains, PA 18705-1191 2011-06-22
1942769393 Geisinger Wyoming Valley Medical Center Pharmacy 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2019-03-15
1437551868 Geisinger Wyoming Valley Medical Center Durable Medical Equipment & Medical Supplies 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2014-09-17
1649568403 Geisinger Wyoming Valley Medical Center Clinic/Center 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2011-07-14
1881980803 Geisinger Wyoming Valley Medical Center Clinic/Center 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 2011-06-28
1669768214 Geisinger Wyoming Valley Medical Center Clinic/Center 110 Trieble Rd, Tunkhannock, PA 18657-3816 2011-06-22
1265728810 Geisinger Wyoming Valley Medical Center Clinic/Center 1130 Highway 315, Wilkes Barre, PA 18702-6952 2011-06-22

Office Location

Street Address 1175 EAST MOUNTAIN BLVD
City WILKES BARRE
State PA
Zip Code 18702-7906

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477153161 Joann Bonn Pharmacist 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 2020-10-30
1689213167 Megan Grace Zanghi Pharmacist 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 2019-12-31
1467013292 Kelly Rose Sones Pharmacist 58/60 Public Square, Wilkes-barre, PA 18702 2019-06-24
1528520186 Adam Olivetti Pharmacist 58-60 Public Square, Wilkes-barre, PA 18702 2019-04-03
1295220648 Dental Associates of Nepa PC Dentist 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 2018-06-28
1568983245 Bio-medical Applications of Pennsylavania, Inc. Clinic/Center 309 Laird St, Wilkes-barre, PA 18702 2017-07-03
1538615166 Elsa Gates Nurse Practitioner 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 2016-09-01
1972990455 Epeople Health Care Inc. Home Health 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 2015-04-22
1063819001 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 2014-11-19
1356764013 Jill Stacchiotti Speech-Language Pathologist 2 Salem Drive, Laflin, PA 18702 2014-01-30
Find all providers in zip 18702

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447538640 Geisinger Wyoming Valley Medical Center Clinic/Center 620 Baltimore Dr, Wilkes Barre, PA 18702-7959 2011-07-22
1962405894 Wilkes Barre Asc., Lp Clinic/Center 545 N River St, Wilkes Barre, PA 18702-2600 2005-05-24
1457959124 Geisinger Wyoming Valley Clinic/Center 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 2020-10-14
1881980803 Geisinger Wyoming Valley Medical Center Clinic/Center 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 2011-06-28
1265728810 Geisinger Wyoming Valley Medical Center Clinic/Center 1130 Highway 315, Wilkes Barre, PA 18702-6952 2011-06-22
1760777106 Geisinger Wyoming Valley Medical Center Clinic/Center 6 Wildflower Dr, Wilkes Barre, PA 18702-7921 2011-06-14
1174822068 Geisinger Wyoming Valley Medical Center Clinic/Center 25 Church St, Wilkes Barre, PA 18702-3507 2011-03-18
1053449009 Geisinger Wyoming Valley Medical Center Clinic/Center 1000 E Mountain Dr, Wilkes Barre, PA 18711 2007-03-01
1962530915 Geisinger South Wilkes Barre Clinic/Center 25 Church St, Wilkes Barre, PA 18765 2007-03-01
1790811172 Geisinger South Wilkes Barre Clinic/Center 25 Church Street, Wilkes Barre, PA 18765 2007-02-27
Find all providers in WILKES BARRE

Competitor

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City WILKES BARRE
Zip Code 18702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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