Healthcare Provider Details

I. General information

NPI: 1699113316
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: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 SIR THOMAS CT SUITE 3
HARRISBURG PA
17109-4840
US

IV. Provider business mailing address

118 WASHINGTON ST
HARRISBURG PA
17104-1677
US

V. Phone/Fax

Practice location:
  • Phone: 717-233-6791
  • Fax: 717-233-6439
Mailing address:
  • Phone: 717-231-8539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

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