Healthcare Provider Details

I. General information

NPI: 1740789528
Provider Name (Legal Business Name): PINNACLE HEALTH REGIONAL PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 02/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 ALEXANDER SPRING RD
CARLISLE PA
17015-6940
US

IV. Provider business mailing address

409 S 2ND ST STE 2F
HARRISBURG PA
17104-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-249-1212
  • Fax:
Mailing address:
  • Phone: 717-231-8929
  • Fax: 717-221-5673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHRISTOPHER P MARKLEY
Title or Position: SENIOR VP
Credential:
Phone: 717-231-8210