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PINNACLE HEALTH MEDICAL SERVICES NPI 1336153063


NPI Information

NPI: 1336153063
Provider Name: PINNACLE HEALTH MEDICAL SERVICES

Doing Business As: CYSTIC FIBROSIS & PEDIATRIC PULMONARY

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

CLIA Number: 39D2113580

Address:
2501 N 3RD ST
HARRISBURG, PA
ZIP 17110
Phone: (717) 782-4790
Get Directions

PINNACLE HEALTH MEDICAL SERVICES is a pediatric pulmonology pediatrics in Harrisburg, PA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. PINNACLE HEALTH MEDICAL SERVICES NPI is 1336153063. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cystic Fibrosis & Pediatric Pulmonary.

The provider's business location address is:

2501 N 3RD ST
HARRISBURG, PA
ZIP 17110-904
Phone: (717) 782-4790
Fax: (717) 782-2121

The provider's authorized official is Roger Longenderfer .
The authorized official title is President/ceo and has the following contact phone number (717) 231-8200.

The CLIA number assigned to this NPI record is 39D2113580 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0214XPediatricsPediatric PulmonologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007666760064MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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