Healthcare Provider Details

I. General information

NPI: 1396797106
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 2ND ST
HIGHSPIRE PA
17034-1507
US

IV. Provider business mailing address

409 S 2ND ST SG3C
HARRISBURG PA
17104-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-939-7831
  • Fax: 717-231-8964
Mailing address:
  • Phone: 717-231-8960
  • Fax: 717-231-8964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily 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