Provider Demographics
NPI:1558731588
Name:PINNACLE HEALTH HOSPITALS
Entity Type:Organization
Organization Name:PINNACLE HEALTH HOSPITALS
Other - Org Name:PINNACLE HEALTH CONNECTIONS RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNSAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-782-3338
Mailing Address - Street 1:111 S FRONT ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2010
Mailing Address - Country:US
Mailing Address - Phone:717-782-3200
Mailing Address - Fax:
Practice Address - Street 1:111 S FRONT ST
Practice Address - Street 2:SUITE #1
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2010
Practice Address - Country:US
Practice Address - Phone:717-782-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINNACLE HEALTH HOSPITALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-02
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4825873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000025630171Medicaid