Healthcare Provider Details
I. General information
NPI: 1538602891
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2016
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1921 SPRING RD
CARLISLE PA
17013-1157
US
IV. Provider business mailing address
409 S 2ND ST SUITE 2F
HARRISBURG PA
17104-1612
US
V. Phone/Fax
- Phone: 717-243-5444
- Fax: 717-243-8578
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
P
MARKLEY
Title or Position: SENIOR VP
Credential:
Phone: 717-231-8210