Healthcare Provider Details

I. General information

NPI: 1790369932
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 05/12/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WALNUT ST STE 205
LEMOYNE PA
17043-1168
US

IV. Provider business mailing address

3 WALNUT ST STE 205
LEMOYNE PA
17043-1168
US

V. Phone/Fax

Practice location:
  • Phone: 717-988-0090
  • Fax:
Mailing address:
  • Phone: 717-988-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY F WILKINSON
Title or Position: MANAGER
Credential:
Phone: 717-231-8038