Provider Demographics
NPI:1184916447
Name:PINNACLE HEALTHCARE LLC
Entity type:Organization
Organization Name:PINNACLE HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAROON
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-796-4120
Mailing Address - Street 1:9301 CONNECTICUT DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7486
Mailing Address - Country:US
Mailing Address - Phone:219-796-4150
Mailing Address - Fax:
Practice Address - Street 1:9301 CONNECTICUT DR
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-7486
Practice Address - Country:US
Practice Address - Phone:219-796-4150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINNACLE HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty