Healthcare Provider Details
I. General information
NPI: 1992403737
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 GRANDVIEW AVE STE 303
CAMP HILL PA
17011-1740
US
IV. Provider business mailing address
225 GRANDVIEW AVE STE 303
CAMP HILL PA
17011-1740
US
V. Phone/Fax
- Phone: 717-761-4141
- Fax: 717-909-1006
- Phone: 717-761-4141
- Fax: 717-909-1006
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
F
WILKINSON
Title or Position: PE MANAGER
Credential:
Phone: 717-231-8038