Organization
PINNACLE HEALTH HOSPITALS
Active
Other names
Pinnacle Health Outpatient Psych
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
—
39S760
CAPITAL BLUE CROSS
PA
Enumeration date
09/21/2006
Last updated
08/22/2020
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