Provider Demographics
NPI: | 1043730203 |
---|---|
Name: | PINNACLE HEALTH REGIONAL PHYSICIANS |
Entity type: | Organization |
Organization Name: | PINNACLE HEALTH REGIONAL PHYSICIANS |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | SR VP, STRAT SVCS/GEN COUNSEL |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHRISTOPHER |
Authorized Official - Middle Name: | P |
Authorized Official - Last Name: | MARKLEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 717-231-8210 |
Mailing Address - Street 1: | 409 S 2ND ST STE 2F |
Mailing Address - Street 2: | |
Mailing Address - City: | HARRISBURG |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 17104-1612 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 233 COLLEGE AVE STE 301 |
Practice Address - Street 2: | |
Practice Address - City: | LANCASTER |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17603-3372 |
Practice Address - Country: | US |
Practice Address - Phone: | 717-291-6752 |
Practice Address - Fax: | 717-291-6751 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-06-20 |
Last Update Date: | 2022-03-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | Group - Multi-Specialty |