Provider Demographics
NPI:1013501618
Name:PINNACLE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:PINNACLE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ AUTHORIZED OFFICAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:J
Authorized Official - Last Name:NTUNGWEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:240-374-8705
Mailing Address - Street 1:13244 MUSICMASTER DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6807
Mailing Address - Country:US
Mailing Address - Phone:340-370-8705
Mailing Address - Fax:
Practice Address - Street 1:13244 MUSICMASTER DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6807
Practice Address - Country:US
Practice Address - Phone:340-370-8705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)