Provider Demographics
NPI:1003207085
Name:PINNACLE FAMILY HEALTH INC
Entity Type:Organization
Organization Name:PINNACLE FAMILY HEALTH INC
Other - Org Name:GREATER OUACHITA COAL PROVIDING AIDS RESOURCES AND EDUCATION INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-582-3587
Mailing Address - Street 1:1801 NORTH 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4485
Mailing Address - Country:US
Mailing Address - Phone:318-325-1092
Mailing Address - Fax:318-325-1222
Practice Address - Street 1:1801 NORTH 7TH STREET
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4485
Practice Address - Country:US
Practice Address - Phone:318-325-1092
Practice Address - Fax:318-325-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)