Provider Demographics
NPI:1508386756
Name:PINNACLE HEALTH REGIONAL PHYSICIANS
Entity Type:Organization
Organization Name:PINNACLE HEALTH REGIONAL PHYSICIANS
Other - Org Name:HIGHLANDS FAMILY PRACTICE
Other - Org Type:Doing Business As
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 1:1871 SANTA BARBARA DR STE 1
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4144
Practice Address - Country:US
Practice Address - Phone:717-560-1970
Practice Address - Fax:717-560-2278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty