MEDICARE: PINNACLE HEALTH SYSTEMS

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
1	314000000X	Skilled Nursing Facility	1000025630014	PA

General Provider Information

NPI Number	:	1184612632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	PO BOX 8700
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17105-8700
Country	:	US
Telephone Number	:	717-782-2709
Fax Number	:	717-782-2351

Provider Business Practice Location Address
First Line	:	2501 N 3RD ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1904
Country	:	US
Telephone Number	:	717-782-2708
Fax Number	:	717-782-2351

Authorized Official
Title or Position	:	RNAC
Name	:	MRS. VICKY ANN DONSON
Credential	:	RN
Telephone Number	:	717-782-2708

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/22/2020

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Directions to “PINNACLE HEALTH SYSTEMS ” Practice Location

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