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NPI Code Detail

MEDICARE: PINNACLE HEALTH INTEGRATIVE SERVICES LLC

MEDICARE: PINNACLE HEALTH INTEGRATIVE SERVICES 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
1207QA0401XAddiction Medicine (Family Medicine) Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1861911562
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE HEALTH INTEGRATIVE SERVICES LLC
Provider Business Mailing Address
First Line : 409 S 2ND ST STE 2F
Second Line :
City : HARRISBURG
State : PA
Zip : 17104-1612
Country : US
Telephone Number : 717-230-3428
Fax Number :
Provider Business Practice Location Address
First Line : 8012 BRETZ DR
Second Line :
City : WEST HANOVER
State : PA
Zip : 17112-9748
Country : US
Telephone Number : 717-652-1211
Fax Number :
Authorized Official
Title or Position : SENIOR VP
Name : CHRISTOPHER P MARKLEY
Credential :
Telephone Number : 717-231-8210
Provider Enumeration Date : 09/13/2017
Last Update Date : 12/12/2018

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Directions to “PINNACLE HEALTH INTEGRATIVE SERVICES LLC ” Practice Location

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