GEISINGER HEALTH PLAN
NPI 1760930606
Health Maintenance Organization in Danville, PA

NPI Status: Active since September 21, 2016

Contact Information

100 N ACADEMY AVE
DANVILLE, PA
ZIP 17822
Phone: (570) 214-1737

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  • Health Maintenance Organization

About GEISINGER HEALTH PLAN

This page provides the complete NPI Profile along with additional information for Geisinger Health Plan, a provider established in Danville, Pennsylvania operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1760930606 assigned on September 2016. The practitioner's primary taxonomy code is 302R00000X with license number RP450670 (PA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Cindy Mull (Director)

NPI
1760930606
Provider Name
GEISINGER HEALTH PLAN
Entity Type
Organization
Location Address
100 N ACADEMY AVE DANVILLE, PA 17822
Location Phone
(570) 214-1737
Mailing Address
100 N ACADEMY AVE DANVILLE, PA 17822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2016
Last Update Date
02-28-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
RP450670
License State
PA
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CINDY MULL

Authorized Official Title
DIRECTOR
Authorized Official Phone
(570) 271-6144

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760930606, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 8 + 3 + 0 + 6 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760930606.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Long Term Care Hospital
100 N ACADEMY AVE, BUSH PAVILION 3, MAIL STOP 4210
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE, GMC ANESTHESIOLOGY
DANVILLE, PA 17822
Internal Medicine (Nephrology)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pharmacist (Pharmacotherapy)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pharmacist (Pharmacotherapy)
100 N ACADEMY AVE, SYSTEM THERAPEUTICS
DANVILLE, PA 17822
Pharmacist
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics (Pediatric Gastroenterology)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Internal Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Internal Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Thoracic Surgery (Cardiothoracic Vascular Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Advanced Practice Midwife
100 N ACADEMY AVE
DANVILLE, PA 17822
Internal Medicine (Medical Oncology)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pharmacist
100 N ACADEMY AVE
DANVILLE, PA 17822
Anesthesiology
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Practitioner
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Plastic Surgery
100 N ACADEMY AVE
DANVILLE, PA 17822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760930606, enumerated as an "organization" on September 21, 2016.

The provider is located at 100 N ACADEMY AVE DANVILLE, PA 17822 and the phone number is (570) 214-1737.

Health Maintenance Organization with taxonomy code 302R00000X.