Provider Demographics
NPI:1750788576
Name:PINNACLE PEAK, INC.
Entity type:Organization
Organization Name:PINNACLE PEAK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PANALIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-782-3365
Mailing Address - Street 1:230 W MORRISON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8528
Mailing Address - Country:US
Mailing Address - Phone:928-782-3365
Mailing Address - Fax:
Practice Address - Street 1:230 W MORRISON ST
Practice Address - Street 2:SUITE B
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8528
Practice Address - Country:US
Practice Address - Phone:928-782-3365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA 5479251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health