NPI |
1417909961 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
Provider Organization Name Legal Business Name |
GEISINGER CLINIC |
The name of the organization provider. If the provider is an organization, this is the legal business name. |
Provider First Line Business Practice Location Address |
515 JERSEYTOWN RD |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address City Name |
MILLVILLE |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
PA |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
17846 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Business Practice Location Address Telephone Number |
5704585598 |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Enumeration Date |
5/16/2006 |
The first name of the provider, if the provider
is an individual. |
Last Update Date |
4/9/2020 |
The middle name of the provider, if the provider
is an individual. |
Authorized Official Last Name |
MULL |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Authorized Official First Name |
CINDY |
The city name in the location address of the provider being identified. |
Authorized Official Middle Name |
L |
The State code in the location of the provider
being identified. |
Authorized Official Title or Position |
SYSTEM DIRECTOR ENROLLMENTS |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Authorized Official Telephone Number |
5702716603 |
The country code in the location address of the provider being identified. |
Healthcare Provider Taxonomy Code 1 |
208000000X |
The telephone number associated with the location address of the provider being identified. |
Healthcare Provider Primary Taxonomy Switch 1 |
N |
The date the provider was assigned a unique identifier (assigned an NPI). |
Healthcare Provider Taxonomy Code 2 |
291U00000X |
|
Provider License Number State Code 2 |
PA |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 2 |
N |
|
Healthcare Provider Taxonomy Code 3 |
332B00000X |
|
Healthcare Provider Primary Taxonomy Switch 3 |
N |
|
Healthcare Provider Taxonomy Code 4 |
363L00000X |
|
Healthcare Provider Primary Taxonomy Switch 4 |
N |
|
Healthcare Provider Taxonomy Code 5 |
207Q00000X |
|
Healthcare Provider Primary Taxonomy Switch 5 |
Y |
|
Is Organization Subpart |
N |
|
Healthcare Provider Taxonomy Group 1 |
193200000X MULTI-SPECIALTY GROUP |
|
Healthcare Provider Taxonomy Group 4 |
193200000X MULTI-SPECIALTY GROUP |
|
Healthcare Provider Taxonomy Group 5 |
193200000X MULTI-SPECIALTY GROUP |
|
NPI Certification Date |
4/9/2020 |
|