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Organization
PINNACLE HEALTH MEDICAL SERVICES
Active
Organization
PINNACLE HEALTH MEDICAL SERVICES
Active
Other names
Kline Health Renal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LONGENDERFER MD (PRESIDENT & CEO)
(717) 231-8200
Entity
Organization
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 231-8960
(717) 231-8964
Mailing address
PO BOX 1286, HARRISBURG, PA 17108-1286
(717) 231-8960
(717) 231-8964
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007666760064
—
PA
Enumeration date
11/14/2008
Last updated
12/11/2008
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