Basic Information
| Provider Information | |||||||||
| NPI: | 1871873182 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PINNACLE HEALTH HOSPITALS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 S FRONT ST | ||||||||
| Address2: | BRADY BUILDING 3, DEPARTMENT OF MEDICINE | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171041619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172318506 | ||||||||
| FaxNumber: | 7172318535 | ||||||||
| Practice Location | |||||||||
| Address1: | 205 S FRONT ST | ||||||||
| Address2: | BRADY BUILDING 3, DEPARTMENT OF MEDICINE | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171041619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172318506 | ||||||||
| FaxNumber: | 7172318535 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2011 | ||||||||
| LastUpdateDate: | 08/18/2011 | ||||||||
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| AuthorizedOfficialLastName: | BECK | ||||||||
| AuthorizedOfficialFirstName: | JANENE | ||||||||
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| AuthorizedOfficialTitleorPosition: | RESIDENCY PROGRAM COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 7172318506 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | MT198686 | PA | Y | Hospitals | General Acute Care Hospital |
No ID Information.