MEDICARE: PINNACLE HEALTH MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208100000X	Physical Medicine & Rehabilitation Physician
2	208VP0000X	Pain Medicine Physician
3	363A00000X	Physician Assistant
4	363LF0000X	Family Nurse Practitioner
5	207QA0401X	Addiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1033865217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HEALTH MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	409 S 2ND ST STE 2F
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17104-1612
Country	:	US
Telephone Number	:	717-231-8049
Fax Number	:

Provider Business Practice Location Address
First Line	:	8012 BRETZ DR
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-9748
Country	:	US
Telephone Number	:	717-988-9340
Fax Number	:	717-231-8656

Authorized Official
Title or Position	:	PE MANAGER
Name	:	AMY F WILKINSON
Credential	:
Telephone Number	:	717-231-8038

Provider Enumeration Date	:	02/25/2022
Last Update Date	:	11/06/2023

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