| Geisinger Clinic | |
|
293 Patriot Ln State College PA 16803-1539 | |
| (814) 272-6770 | |
| (814) 283-6415 |
| Full Name | Geisinger Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 293 Patriot Ln, State College, Pennsylvania |
| Authorized Official Name and Position | Cindy L Mull (DIRECTOR) |
| Authorized Official Contact | 5702716603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geisinger Clinic 100 N Academy Ave Danville PA 17822-9800 Ph: (570) 271-6144 | Geisinger Clinic 293 Patriot Ln State College PA 16803-1539 Ph: (814) 272-6770 |
| NPI Number | 1639747462 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 10/08/2021 |
| Certification Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639747462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
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