Healthcare Provider Details

I. General information

NPI: 1588917835
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 WATERFORD DR
MECHANICSBURG PA
17050-8266
US

IV. Provider business mailing address

PO BOX 1286
HARRISBURG PA
17108-1286
US

V. Phone/Fax

Practice location:
  • Phone: 717-591-3630
  • Fax: 717-591-3631
Mailing address:
  • Phone: 717-231-8960
  • Fax: 717-231-8964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

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