Provider Demographics
NPI:1962597609
Name:PINNACLE HEALTH ASSOCIATES, LTD
Entity type:Organization
Organization Name:PINNACLE HEALTH ASSOCIATES, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-943-6662
Mailing Address - Street 1:4435 AICHOLTZ RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1692
Mailing Address - Country:US
Mailing Address - Phone:513-943-6662
Mailing Address - Fax:513-943-0823
Practice Address - Street 1:4435 AICHOLTZ RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1692
Practice Address - Country:US
Practice Address - Phone:513-943-6662
Practice Address - Fax:513-943-0823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2643750Medicaid
1D02761Medicare ID - Type Unspecified