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UPMC BLUE MOUNTAIN PRIMARY CARE
NPI 1063850774
Family Medicine in Harrisburg, PA

Active since June 05, 2013CLIA 39D2112838 · Microscopy
2808 OLD POST RD STE 104, HARRISBURG, PA 17110(717) 545-4786(717) 545-6359 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Upmc Blue Mountain Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPMC BLUE MOUNTAIN PRIMARY CARE (NPI 1063850774) is a healthcare organization registered as a family medicine in Harrisburg, Pennsylvania and active in the NPI registry since June 2013. The organization holds a CLIA Microscopy certificate valid through May 9, 2028 and lists Amy Wilkinson, Pe Manager, as its authorized official.

NPPES Registry Identity

NPI1063850774
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePINNACLE HEALTH MEDICAL SERVICES
Location Address2808 OLD POST RD STE 104Harrisburg, PA 17110-3685
Mailing Address409 S 2nd St, Suite 2fHarrisburg, PA 17104-1612
Phone(717) 545-4786
Fax(717) 545-6359
Organization SubpartNo
Authorized OfficialAmy WilkinsonPe Manager · (717) 231-8038
Enumeration DateJune 5, 2013
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1063850774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X
2808 OLD POST RD STE 104, Harrisburg, PA 17110
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Other Names 2

Doing Business AsUpmc Blue Mountain Primary Care
Other NameBlue Mountain Family Practice

Other Identifiers 1

Medicaid10076667600064PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D2112838

Upmc Blue Mountain Primary Care · Harrisburg, PA
Active · expires May 9, 2028
CLIA Number39D2112838
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorDr. Firdausi Matawalle
Laboratory Phone(717) 545-4786
Laboratory LocationUpmc Blue Mountain Primary Care2808 Old Post Road, Suite 104, Harrisburg, PA 17110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA E MOODY MD
Internal Medicine
2808 OLD POST RD STE 104
HARRISBURG, PA 17110
Dauphin County (717) 545-4786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinnacle Health Medical Services's NPI number?

The NPI number for Pinnacle Health Medical Services is 1063850774. It was assigned to this organization in the NPPES registry on June 5, 2013. The provider is doing business as Upmc Blue Mountain Primary Care. The provider is also known as Blue Mountain Family Practice.

Where is Pinnacle Health Medical Services located?

Pinnacle Health Medical Services is located at 2808 Old Post Rd Ste 104, Harrisburg, PA 17110. The listed phone number is (717) 545-4786.

What is Pinnacle Health Medical Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pinnacle Health Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D2112838) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinnacle Health Medical Services was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.