Provider Demographics
NPI: | 1760989057 |
---|---|
Name: | PINNACLE HEALTH MEDICAL SERVICES |
Entity Type: | Organization |
Organization Name: | PINNACLE HEALTH MEDICAL SERVICES |
Other - Org Name: | UPMC PINNACLE ALLERGY AND IMMUNOLOGY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | SENIOR VP |
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: | 21 WATERFORD DR |
Practice Address - Street 2: | |
Practice Address - City: | MECHANICSBURG |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17050-8268 |
Practice Address - Country: | US |
Practice Address - Phone: | 717-988-9180 |
Practice Address - Fax: | 717-775-5723 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-04-12 |
Last Update Date: | 2018-04-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | Group - Single Specialty |