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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