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LIFE GEISINGER
NPI 1073560553
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Wilkes-barre, PA

Active since May 28, 2006CLIA Certified · 4 labs
592 S. MAIN STREET, WILKES-BARRE, PA 18701(570) 808-4780(570) 808-4781 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2021, Feb 8, 2021, May 8, 2019 and 2 more (5 updates tracked since 2019).

About Life Geisinger NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE GEISINGER (NPI 1073560553) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Wilkes-barre, Pennsylvania and active in the NPI registry since May 2006. The organization holds 4 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Debbie Palmer, Program Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073560553
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameGEISINGER COMMUNITY HEALTH SERVICES
Location Address592 S. MAIN STREETWilkes-barre, PA 18701-2102
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 214-9790 · Fax (570) 214-9791
Phone(570) 808-4780
Fax(570) 808-4781
Organization SubpartYes
Authorized OfficialDebbie PalmerProgram Coordinator · (570) 214-9806
Enumeration DateMay 28, 2006
Last NPPES UpdateFebruary 25, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1073560553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
License✔ Licensed in PA · 251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
592 S. MAIN STREET, Wilkes-barre, PA 18701
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Other Names 1

Doing Business AsLife Geisinger

Secondary Practice Locations 4

Location 12300 Adams AveScranton, PA 18509-1514 · Phone (570) 558-6160 · Fax (570) 214-9791
Location 21100 Spruce StKulpmont, PA 17834-1234 · Phone (570) 214-9790
Location 3106 Derry Heights BlvdLewistown, PA 17044-8604 · Phone (717) 363-9077
Location 42 Lewis StMinersville, PA 17954-1428 · Phone (570) 984-2051 · Fax (570) 399-0725

Other Identifiers 3

Medicaid1000038000035PA
Medicaid1000038000038PA
Medicaid1000038000028PA

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1077504

Life Geisinger Kulpmont · Kulpmont, PA
Active · expires Dec 11, 2027
CLIA Number39D1077504
Laboratory TypeOther
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Matthew J. Kraynak
Laboratory Phone(570) 373-2100
Laboratory LocationLife Geisinger Kulpmont1100 Spruce Street, Kulpmont, PA 17834
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2211696

Life Geisinger Minersville · Minersville, PA
Active · expires Jan 28, 2027
CLIA Number39D2211696
Laboratory TypeAdult Day Health Facility
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorDr. Matthew J. Kraynak
Laboratory Phone(570) 984-2057
Laboratory LocationLife Geisinger Minersville2 Lewis Street, Minersville, PA 17954
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2157499

Life Geisinger Lewistown · Lewistown, PA
Active · expires Nov 6, 2026
CLIA Number39D2157499
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorDr. Ireneusz Szulawski
Laboratory Phone(570) 363-9077
Laboratory LocationLife Geisinger Lewistown106 Derry Heights Boulevard, Lewistown, PA 17044
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2113347

Life Geisinger South Wilkes-Barre · Wilkes Barre, PA
Active · expires May 19, 2028
CLIA Number39D2113347
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorDr. Ephraim Dunn
Laboratory Phone(570) 271-8658
Laboratory LocationLife Geisinger South Wilkes-Barre592 South Main Street, Wilkes Barre, PA 18701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geisinger Community Health Services's NPI number?

The NPI number for Geisinger Community Health Services is 1073560553. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Life Geisinger.

Where is Geisinger Community Health Services located?

Geisinger Community Health Services is located at 592 S. Main Street, Wilkes-Barre, PA 18701. The listed phone number is (570) 808-4780.

What is Geisinger Community Health Services's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Geisinger Community Health Services hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Geisinger Community Health Services was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.