Pinnacle Health Outpatient Psych Partial | |
307 S Front St Harrisburg PA 17104-1621 | |
(717) 782-3131 | |
Not Available |
Full Name | Pinnacle Health Outpatient Psych Partial |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 307 S Front St, Harrisburg, Pennsylvania |
Authorized Official Name and Position | Roger Longenderfer (PRESIDENT AND CEO) |
Authorized Official Contact | 7172308200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pinnacle Health Outpatient Psych Partial Po Box 8700 Harrisburg PA 17105-8700 Ph: () - | Pinnacle Health Outpatient Psych Partial 307 S Front St Harrisburg PA 17104-1621 Ph: (717) 782-3131 |
NPI Number | 1609970615 |
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Provider Enumeration Date | 09/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609970615 | NPI | - | NPPES |
390760 | Other | PA | CAPTAL BLUE CROSS |
1000025630093 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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