Organization
PINNACLE HEALTH HOSPITALS
Active
Other names
Pinnacle Health Hospitals Outpatient Behavorial Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LONGENDERFER M.D. (PRESIDENT AND CEO)
(717) 230-8200
Entity
Organization
Contact information
Practice address
307 S FRONT ST, HARRISBURG, PA 17104-1621
(717) 782-3131
Mailing address
PO BOX 8700, HARRISBURG, PA 17105-8700
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000025630085
CBHNP
PA
05
—
1000025630085
—
PA
Enumeration date
09/13/2006
Last updated
08/22/2020
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