Healthcare Provider Details

I. General information

NPI: 1184763161
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 05/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N 3RD ST
HARRISBURG PA
17110-1904
US

IV. Provider business mailing address

409 S 2ND ST PO BOX 1286
HARRISBURG PA
17104-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-782-2100
  • Fax: 717-782-2121
Mailing address:
  • Phone: 717-231-8960
  • Fax: 717-231-8964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

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