Active NPI
Pinnacle Health Hospitals
- Skilled Nursing Facility
- Harrisburg, PA
National Provider Identifier
1730259508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 340602
- Legal business name
- PINNACLE HEALTH HOSPITALS
- Practice address
- 2501 N 3Rd St
Harrisburg, PA 17110-1904 - Phone
- (717) 782-3131
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger Longenderfer, M.D.
- Title
- President and Ceo
- Phone
- (717) 230-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 340602 | PA | Primary |
Addresses
Primary practice location
2501 N 3Rd St
Harrisburg, PA 17110-1904
Mailing address
PO Box 8700
Harrisburg, PA 17105-8700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395632 | Other | PA | CAPITAL BLUE CROSS |
| 1000025630014 | Medicaid | PA | |
| 1472 | Other | PA | HIGHMARK |
Other names 1
- Pinnacle Health Polyclinic Skilled Nursing Facility
National Provider Directory
National Provider Directory- Tax ID family
- HBG Poly Med Ctr
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1730259508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8700",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171058700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N 3RD ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101904",
"telephone_number": "717-782-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HEALTH HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "LONGENDERFER",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "717-230-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "340602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "395632",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000025630014",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1472",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinnacle Health Polyclinic Skilled Nursing Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.