Healthcare Provider Details
I. General information
NPI: 1255779971
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: 03/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3720 MARKET ST
CAMP HILL PA
17011-4325
US
IV. Provider business mailing address
409 S 2ND ST SUITE 2F
HARRISBURG PA
17104-1612
US
V. Phone/Fax
- Phone: 717-909-4670
- Fax: 717-909-4675
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
P
MARKLEY
Title or Position: SENIOR VP
Credential:
Phone: 717-231-8210