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Organization
PINNACLE HEALTH MEDICAL SERVICES
Active
Organization
PINNACLE HEALTH MEDICAL SERVICES
Active
Other names
Behavioral Service Consults
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LONGENDERFER MD (PRESIDENT & CEO)
(717) 231-8200
Entity
Organization
Contact information
Practice address
111 SOUTH FRONT ST, HARRISBURG, PA 17105
(717) 231-8960
(717) 231-8964
Mailing address
PO BOX 1286, HARRISBURG, PA 17108-1286
(717) 231-8960
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029490
MEDICARE GROUP
PA
05
—
1007666760064
—
PA
Enumeration date
07/02/2008
Last updated
07/02/2008
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