Healthcare Provider Details
I. General information
NPI: 1336462027
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2010
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 WALNUT ST SUITE 100
WORMLEYSBURG PA
17043-1168
US
IV. Provider business mailing address
409 S 2ND ST SUITE 2F
HARRISBURG PA
17104-1612
US
V. Phone/Fax
- Phone: 717-761-4141
- Fax: 717-761-1456
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
P
MARKLEY
Title or Position: SENIOR VP
Credential:
Phone: 717-231-8210