Provider Demographics
| NPI: | 1043730203 |
|---|---|
| Name: | PINNACLE HEALTH REGIONAL PHYSICIANS |
| Entity type: | Organization |
| Organization Name: | PINNACLE HEALTH REGIONAL PHYSICIANS |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| 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: | 233 COLLEGE AVE STE 301 |
| Practice Address - Street 2: | |
| Practice Address - City: | LANCASTER |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 17603-3372 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 717-291-6752 |
| Practice Address - Fax: | 717-291-6751 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-06-20 |
| Last Update Date: | 2022-03-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | Group - Multi-Specialty |