Provider Demographics
NPI:1790540961
Name:PINNACLE HEALTH
Entity Type:Organization
Organization Name:PINNACLE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CETIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEKIMOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-915-6570
Mailing Address - Street 1:947 S 3 NOTCH ST
Mailing Address - Street 2:STE B
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420
Mailing Address - Country:US
Mailing Address - Phone:334-843-8515
Mailing Address - Fax:
Practice Address - Street 1:947 S 3 NOTCH ST
Practice Address - Street 2:STE B
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420
Practice Address - Country:US
Practice Address - Phone:334-843-8515
Practice Address - Fax:934-222-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty