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NPI Code Detail

MEDICARE: PINNACLE HEALTH MEDICAL SERVICES

MEDICARE: PINNACLE HEALTH MEDICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician
2363L00000XNurse Practitioner
3363LF0000XFamily Nurse Practitioner
4363A00000XPhysician Assistant
5207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023052362
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE HEALTH MEDICAL SERVICES
Provider Business Mailing Address
First Line : 409 S 2ND ST
Second Line : PO BOX 1286
City : HARRISBURG
State : PA
Zip : 17104-1612
Country : US
Telephone Number : 717-231-8960
Fax Number : 717-231-8964
Provider Business Practice Location Address
First Line : 506 S STATE RD
Second Line :
City : MARYSVILLE
State : PA
Zip : 17053-1001
Country : US
Telephone Number : 717-957-2212
Fax Number : 717-957-2052
Authorized Official
Title or Position : SENIOR VP
Name : MR. CHRISTOPHER P MARKLEY
Credential :
Telephone Number : 717-231-8210
Provider Enumeration Date : 06/16/2006
Last Update Date : 05/20/2011

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1619901774 — THOMAS R TRUITT OD
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Directions to “PINNACLE HEALTH MEDICAL SERVICES ” Practice Location

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