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NPI Code Detail

MEDICARE: PINNACLE HEALTH CARE LLC

MEDICARE: PINNACLE HEALTH CARE LLC
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
1251G00000XCommunity Based Hospice Care Agency

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 : 1437293511
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE HEALTH CARE LLC
Provider Business Mailing Address
First Line : 1067 FOCH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2919
Country : US
Telephone Number : 817-263-8808
Fax Number : 817-263-8811
Provider Business Practice Location Address
First Line : 1067 FOCH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2919
Country : US
Telephone Number : 817-263-8808
Fax Number : 817-263-8811
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : CHRISTOPHER DAVID CAIN
Credential :
Telephone Number : 817-263-8808
Provider Enumeration Date : 02/20/2007
Last Update Date : 01/30/2009

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Directions to “PINNACLE HEALTH CARE LLC ” Practice Location

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