Healthcare Provider Details
I. General information
NPI: 1477991198
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2013
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 HOUSE AVE SUITE 101
CAMP HILL PA
17011-2308
US
IV. Provider business mailing address
118 WASHINGTON ST
HARRISBURG PA
17104-1677
US
V. Phone/Fax
- Phone: 717-761-8331
- Fax: 717-761-5032
- Phone: 717-231-8539
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
P
MARKLEY
Title or Position: SENIOR VP
Credential:
Phone: 717-231-8210