MEDICARE: PINNACLE HEALTH REGIONAL PHYSICIANS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1831629062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HEALTH REGIONAL PHYSICIANS

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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1533 COMMERCE AVE STE 2
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-9128
Country	:	US
Telephone Number	:	717-796-9300
Fax Number	:	717-796-9400

Authorized Official
Title or Position	:	SR VP, STRAT SVCS/GEN COUNSEL
Name	:	CHRISTOPHER P. MARKLEY
Credential	:
Telephone Number	:	717-231-8210

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	06/20/2017

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